Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SIVASANKER BAKTHAVACHALAM, M.D.
ActiveOtolaryngology · PROSPER, TX
Registration Details
- NPI Number
- 1730390204
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2007 (18.916818606631 yrs)
- Last Updated
- May 9, 2023
- License
-
M6033 (TX)
Practice Information
- Address
-
4200 W UNIVERSITY DRPROSPER, TX, 750789805Browse TX providers · Browse ZIP 75078
- Phone
- 6823034200
- Fax
- 6823034242
- Primary Specialty
-
Otolaryngology
207Y00000X
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.