Individual
MR. RAVINDRA BABU BHOGADULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
2528 BYPASS RD, ELKHART, IN 46514-1528
(203) 285-4817
Mailing address
50976 SHARPSTONE CT, GRANGER, IN 46530-6848
(203) 285-4817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
028554-1
NY
225100000X
Physical Therapist
Primary
05009178A
IN
Other
Enumeration date
04/17/2007
Last updated
08/02/2023
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