Provider Demographics
NPI:1356306765
Name:BHATTACHARYA, SHUVIR S (DC)
Entity Type:Individual
Prefix:DR
First Name:SHUVIR
Middle Name:S
Last Name:BHATTACHARYA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6776 SOUTHWEST FWY
Mailing Address - Street 2:STE 340
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2119
Mailing Address - Country:US
Mailing Address - Phone:713-952-7696
Mailing Address - Fax:713-977-4201
Practice Address - Street 1:6776 SOUTHWEST FWY
Practice Address - Street 2:STE 340
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2107
Practice Address - Country:US
Practice Address - Phone:713-952-7696
Practice Address - Fax:713-781-0188
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor