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Individual
DR. BHASKAR GUNDABOLU
Active
Individual
DR. BHASKAR GUNDABOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35088652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000541140
ANTHEM
OH
05
—
2831243
—
OH
01
—
66501560001
MEDICAL MUTUAL
OH
01
—
6870
PARAMOUNT
OH
01
—
751132
BUCKEYE
OH
01
—
9567063
AETNA
OH
Enumeration date
05/18/2007
Last updated
09/29/2026
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