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Individual

ANURADHA BHAMIDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1001 S GEORGE ST, 3RD FLOOR, YORK, PA 17403-3676
(717) 851-4005
(717) 812-2495
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD071639L
PA
208M00000X
Hospitalist Physician
Primary
MD071639L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001820576
PA
01
1545275
GATEWAY
PA
01
30101662
AMERIHEALTH MERCY-WMG
PA
01
30131968
AMERIHEALTH MERCY - WMG
PA
01
417118
UPMC
PA
01
904334
HIGHMARK BLUE SHIELD
PA
Enumeration date
01/31/2006
Last updated
11/08/2024
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