Individual
PRACHI ASHOK BHOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9104
(814) 534-3559
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9104
(814) 534-3559
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT216326
PA
207R00000X
Internal Medicine Physician
MT216326
PA
Other
Enumeration date
07/09/2018
Last updated
06/18/2019
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