Individual
BHASKARA R NARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3105 S STATE ROUTE 51, ELMORE, OH 43416-9625
(419) 862-2916
(419) 862-1701
Mailing address
PO BOX 67, ELMORE, OH 43416-0067
(419) 862-2916
(419) 862-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35037046
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0290288
—
OH
Enumeration date
01/09/2006
Last updated
12/15/2011
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