Individual
SUBHOSE BATHINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-4793
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-4793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45215
KY
208M00000X
Hospitalist Physician
36538
SC
Other
Enumeration date
07/08/2009
Last updated
06/30/2017
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