NIDRAVEDA P.A. NPI 1457773350

NPI Information

  • NPI: 1457773350
  • Provider Name: NIDRAVEDA, P.A.
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 4358 LOCKHILL SELMA RD STE 106
    SHAVANO PARK, TX
    ZIP 78249
  • Phone: (210) 686-5000

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NPI Details

NIDRAVEDA, P.A. is a medical specialty clinic center in Shavano Park, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NIDRAVEDA, P.A. NPI is 1457773350. The provider is registered as an organization entity type.

The provider's business location address is:

4358 LOCKHILL SELMA RD STE 106
SHAVANO PARK, TX
ZIP 78249-167
Phone: (210) 686-5000
Fax: (210) 239-5060

The provider's authorized official is Hanul S Bhandari .
The authorized official title is Owner and has the following contact phone number (210) 686-5000.

The enumeration date for this NPI number is 1/10/2014 and was last updated on 5/22/2019.

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
1261QS1200XClinic/CenterSleep Disorder DiagnosticP2828TEXASNo
2261QM2500XClinic/CenterMedical SpecialtyP2828TEXASYes

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: 11/21/2025

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