Individual
BHASKARA GARIMELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
100 WINNWOOD RD, LITTLE ROCK, AR 72207-2526
(501) 339-4416
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
196282
CA
Other
Enumeration date
04/26/2017
Last updated
09/13/2024
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