Individual
BHASAKARA P BOLISETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1708 SOUTHPOINT DR, CLEVELAND, OH 44109-1911
(216) 787-0500
Mailing address
30 E BROAD ST, 11TH FL ATTN TONYA FASONE, COLUMBUS, OH 43215-3414
(614) 466-9930
(614) 644-9116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.063292
OH
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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