Individual
PRAJAKTA PARUTAPPA BHIMALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(317) 383-6913
Mailing address
250 ASHLAND PL APT 34C, BROOKLYN, NY 11217-4330
(317) 383-6913
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
310811
NY
Other
Enumeration date
04/05/2016
Last updated
07/13/2021
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