Provider Demographics
NPI:1912285644
Name:DEVAKI, PARDHA (MD)
Entity type:Individual
Prefix:
First Name:PARDHA
Middle Name:
Last Name:DEVAKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:950 E STATE HIGHWAY 114 STE 200
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-5261
Mailing Address - Country:US
Mailing Address - Phone:214-424-2200
Mailing Address - Fax:214-231-2159
Practice Address - Street 1:3700 SE DODSON RD STE 2
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3728
Practice Address - Country:US
Practice Address - Phone:479-763-3501
Practice Address - Fax:479-763-3502
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-29
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE-10276207RG0100X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology