MRS. KAVITHA SUNKU BLEWETT M.D. NPI 1386697704

NPI Information

NPI: 1386697704
Provider Name: MRS. KAVITHA SUNKU BLEWETT, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
8160 WALNUT HILL LN
SUITE 200
DALLAS, TX
ZIP 75231
Phone: (214) 363-4421
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MRS. Kavitha Sunku Blewett, M.D. is a specialist in Dallas, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MRS. Kavitha Sunku Blewett, M.D. NPI is 1386697704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8160 WALNUT HILL LN
SUITE 200
DALLAS, TX
ZIP 75231-339
Phone: (214) 363-4421
Fax: (214) 987-1657

The NPI 1386697704 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		L8523	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1742678	MEDICAID	TEXAS
2	610950	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
3	L8523	OTHER	TEXAS	STATE LICENSE
4	8P8860	OTHER	TEXAS	BLUE CROSS/BLUE SHIELD
5	I16746	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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