Bhatraju Medical Clinic

NPI 1083855993 - General Practice - 208D00000X

NPI Details
NPI 1083855993
Enumeration Date 03/23/2009
Last Updated 03/23/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ALLEN ALLEN
Position PA-MANAGER
Phone (606) 432-0168
Fax
Practice Location
180 TOWN MOUNTAIN RD
SUITE 111
PIKEVILLE KY, 41501-1698, US
Phone (606) 432-0168
Fax
Business Location
180 TOWN MOUNTAIN RD
SUITE 111
PIKEVILLE KY, 41501-1698, US
Phone (606) 432-0168
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Kentucky
License Number PA953
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According to our database, Bhatraju Medical Clinic NPI is 1083855993, taxonomy code is 208D00000X and license number is PA953, license state is located at Kentucky. Bhatraju Medical Clinic physically located at 180 Town Mountain Rd, Pikeville KY, 41501-1698. NPI Number 1033115704 has the healthcare provider type.

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1083855993 NPI number is provided on an as is basis without warranty of any kind. 1083855993 is maintained by the National Plan & Provider Enumeration System. The contents of Bhatraju Medical Clinic are for informational purposes only.