Individual
DR. BHANU KIRAN PATIBANDLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 330, VANCOUVER, WA 98664-3288
(360) 514-2990
Mailing address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-6177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
252081
MA
207R00000X
Internal Medicine Physician
MD60797623
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD60797623
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD60797623
WA
Other
Enumeration date
06/28/2012
Last updated
04/23/2018
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