Individual provider · NPI-1
Bharathi V Bonthu, M.D.
Family Medicine · Middletown, NY
NPI number1023038957
StatusActive
Last updated in NPPESJan 28, 2025
Details
- NPI
- 1023038957
- Entity type
- Individual (NPI-1)
- Name
- Bharathi V Bonthu
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2006
- Certification date
- Jan 28, 2025
- Last updated
- Jan 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 239181 | NY | Yes |
| 207Q00000X | Family Medicine | 228006 | MA |
Practice location
10 Benton AveMiddletown, NY 10940-5177
Phone 845-563-8000
Mailing address
2570 Route 9w Ste 10Cornwall, NY 12518-1370
Phone 845-220-3100 · Fax 845-534-2940
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