Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEERTHANA NAGAVENKATA BOLISETTY, MD
ActiveDR. KEERTHANA NAGAVENKATA BOLISETTY, MD is a Sports Medicine (Emergency) healthcare provider located in ARLINGTON, Texas. NPI 1407241284 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · ARLINGTON, TX
Registration Details
- NPI Number
- 1407241284
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2015 (11.416890902055 yrs)
- Last Updated
- Oct 23, 2022
- Licenses
-
S1985 (TX)S1985 (TX)
Practice Information
- Address
-
1007 W RANDOL MILL RD STE 110ARLINGTON, TX, 760126503Browse TX providers · Browse ZIP 76012
- Phone
- 8176177678
- Fax
- 8176177678
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.