Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bhavani Choudary Suryadevara, MD

Individual provider Internal Medicine Physician · NPI 1710211578

Dr. Bhavani Choudary Suryadevara, MD is an Internal Medicine in Tyler, Texas. Qualified in 2006, 20 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in Colorado and Texas.

Years since qualifying
20
Licensed in
CO, TX
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone: (903) 590-5611
Fax: (903) 535-6884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence S8392 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence 52980 (CO)
Hospitalist Physician Taxonomy 208M00000X · Licence 52980 (CO)

Record details

NPI number1710211578
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 28, 2009
Last updated in NPPESFebruary 22, 2021
Certification dateFebruary 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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