Individual
DR. CHANDANA BHIMMANAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(910) 721-2070
(910) 721-2074
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 721-2070
(910) 721-2074
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2024-02123
NC
390200000X
Student in an Organized Health Care Education/Training Program
BHIM-XPABAF
NC
Other
Enumeration date
03/30/2021
Last updated
08/19/2024
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