Provider Demographics
NPI:1225226491
Name:ARVAPALLI, BHAGYALAKSHMI (MD)
Entity Type:Individual
Prefix:
First Name:BHAGYALAKSHMI
Middle Name:
Last Name:ARVAPALLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BHAGYALAKSHMI
Other - Middle Name:V
Other - Last Name:ARVAPALLI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:12014 INDIGO BND
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2905
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA37204207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA71103OtherWELLMARK BLUE SHIELD
IA71103OtherWELLMARK BLUE SHIELD