Provider Demographics
NPI:1881879393
Name:BHATTACHARYA, AMI PARIKH (MPAS, PA-C)
Entity type:Individual
Prefix:
First Name:AMI
Middle Name:PARIKH
Last Name:BHATTACHARYA
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Gender:F
Credentials:MPAS, PA-C
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Mailing Address - Street 1:12700 PARK CENTRAL DR STE 1210
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-1522
Mailing Address - Country:US
Mailing Address - Phone:214-987-3376
Mailing Address - Fax:469-532-0273
Practice Address - Street 1:5060 TENNYSON PKWY STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-4168
Practice Address - Country:US
Practice Address - Phone:972-505-2551
Practice Address - Fax:972-521-3240
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2024-06-26
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Provider Licenses
StateLicense IDTaxonomies
TXPA05459363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant