Chinagandham Srinivisa Bhupathi
Orthopaedic Surgery in Staten Island, NY. Individual provider (NPI-1).
NPI number1114911963
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1114911963
- Entity type
- Individual (NPI-1)
- Name
- Mr. Chinagandham Srinivisa Bhupathi
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 116509 | NY | Yes |
Practice location
11 Ralph PlSuite 102
Staten Island, NY 10304-4419
Phone 718-447-6545 · Fax 718-447-5297
Mailing address
11 Ralph PlSuite 102
Staten Island, NY 10304-4419
Phone 718-447-6545 · Fax 718-447-5297
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