Dr. Bhaskar Purushottam, MD
Internal Medicine, Cardiovascular Disease in Rapid City, SD. Individual provider (NPI-1).
NPI number1982804969
StatusActive
Last updated in NPPESAug 18, 2015
Details
- NPI
- 1982804969
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bhaskar Purushottam
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2007
- Last updated
- Aug 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 9505 | SD | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | MT189705 | PA |
Practice location
4150 5th StRapid City, SD 57701-6022
Phone 605-755-4300 · Fax 605-755-1027
Mailing address
353 Fairmont BlvdAttn Mss
Rapid City, SD 57701-7350
Phone 267-516-5143
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