Individual
BHASKAR ONGOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
240789
MA
207R00000X
Internal Medicine Physician
Primary
MD158190
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
GROUP NPI NORTH BEND MEDICAL CENTER
OR
01
—
161133
GROUP MEDICAID NORTH BEND MEDICAL CENTER
OR
05
—
500664151
—
OR
01
—
93-0635514
GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER
OR
01
—
R0000WFBTV
GROUP MEDICARE NORTH BEND MEDICAL CENTER
OR
Enumeration date
06/25/2009
Last updated
01/27/2014
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