Individual
SHARATHKUMAR M BHAGAVATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 678-8197
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 678-8197
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
MD-44252
IA
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
MD-44252
IA
207ZP0101X
Anatomic Pathology Physician
4301083466
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254584
—
NJ
Enumeration date
05/15/2007
Last updated
07/21/2022
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