Individual
BHARGAVI DEGAPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-6804
(570) 271-6393
(570) 271-5623
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08716000
NJ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
25MA08716000
NJ
207RN0300X
Nephrology Physician
Primary
MD433841
PA
208M00000X
Hospitalist Physician
25MA08716000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235423
—
NJ
Enumeration date
04/24/2008
Last updated
03/29/2023
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