Individual
BHAGAVATULA RAMAKRISHNA
Active
Individual
BHAGAVATULA RAMAKRISHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036-050628
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050628
—
IL
01
—
21622441
BCBS PROVIDER ID
IL
01
—
F400293103
MEDICARE PTAN
IL
Enumeration date
09/20/2005
Last updated
01/24/2017
Update your record
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