Individual
MS. BHAVANA JYOTI ANNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5671
(909) 475-5059
Mailing address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5671
(909) 475-5059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
330692
NY
Other
Enumeration date
05/11/2021
Last updated
11/25/2025
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