Individual provider · Type 1 NPI
Keerthana Nagavenkata Bolisetty, MD
Retina Specialist (Ophthalmology) Physician · Arlington, TX
NPI number
1407241284
Active
Practice location
1007 W Randol Mill Rd Ste 110
Arlington, TX 76012-6503
Fax (817) 617-7678
Mailing address
3824 N Tarrant Pkwy Ste 310
Fort Worth, TX 76244-5431
Other practice locations
- 5323 Harry Hines Blvd, Dallas, TX 75390-7201 · (214) 648-0464
- 3824 N Tarrant Pkwy Ste 310, Fort Worth, TX 76244-5431 · (817) 617-7678
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | S1985 (TX) |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | S1985 (TX) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
About NPI 1407241284
Keerthana Nagavenkata Bolisetty, MD's National Provider Identifier is 1407241284, issued on Mar 30, 2015. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Arlington, TX. The record was last updated on Oct 23, 2022.