Dr. Pavan Kumar Bhamidipati, MD
Internal Medicine, Hematology & Oncology in Saint Cloud, MN. Individual provider (NPI-1).
NPI number1548490840
StatusActive
Last updated in NPPESApr 25, 2025
Details
- NPI
- 1548490840
- Entity type
- Individual (NPI-1)
- Name
- Dr. Pavan Kumar Bhamidipati
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2009
- Certification date
- Apr 25, 2025
- Last updated
- Apr 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | 2012019678 | MO | Yes |
| 207RH0003X | Internal Medicine, Hematology & Oncology | 63587 | MN | |
| 208M00000X | Hospitalist | 2012019678 | MO |
Practice location
1406 6th Ave NSaint Cloud, MN 56303
Phone 302-229-4907 · Fax 302-229-5160
Mailing address
1406 6th Ave NSaint Cloud, MN 56303-1900
Phone 302-229-4907 · Fax 302-229-5160
Other practice locations
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110-1003
Saint Louis, MO 63110-1003
Phone 314-362-1700 · Fax 314-362-9878
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