Bhavana Bhagya Rao, M.D.
Internal Medicine, Gastroenterology in New York, NY. Individual provider (NPI-1).
NPI number1437598331
StatusActive
Last updated in NPPESJul 8, 2020
Details
- NPI
- 1437598331
- Entity type
- Individual (NPI-1)
- Name
- Bhavana Bhagya Rao
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2013
- Certification date
- Jul 8, 2020
- Last updated
- Jul 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 304118 | NY | Yes |
| 207R00000X | Internal Medicine | MD467502 | PA | |
| 207RG0100X | Internal Medicine, Gastroenterology | MD467502 | PA |
Practice location
17 E 102nd StNew York, NY 10029-5204
Phone 212-241-8100 · Fax 646-537-8921
Mailing address
150 E 42nd St Fl 9New York, NY 10017-5699
Phone 646-605-8186
Other practice locations
3400 Spruce St
Philadelphia, PA 19104-4238
Philadelphia, PA 19104-4238
Phone 215-349-8222 · Fax 215-349-5915
5 E 98th St
New York, NY 10029-6501
New York, NY 10029-6501
Phone 212-241-4299 · Fax 212-426-5099
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