Individual
GAYATRI MANAVI BOBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 PROFESSIONAL PARK DR STE 21, JOHNSON CITY, TN 37604-6909
(423) 439-8023
Mailing address
100 HOSPITAL RD STE 201, EAST PATCHOGUE, NY 11772-8814
(631) 475-6900
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
07/03/2024
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