Dr. Sivasanker Bakthavachalam, MD
Dr. Sivasanker Bakthavachalam, MD is an Otolaryngology Physician in Prosper, Texas. Licensed in Texas. Registered with an NPI since 2007.
- Licensed in
- TX
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4200 W University DrProsper, TX 75078-9805
Phone: (682) 303-4200
Fax: (682) 303-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence M6033 (TX) |
|---|
Record details
| NPI number | 1730390204 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 25, 2007 |
| Last updated in NPPES | May 9, 2023 |
| Certification date | May 9, 2023 |