Individual
DR. PARUT R BHIMALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
406 EAST ELM STREET, CARSON CITY, MI 48811
(989) 584-3131
(989) 584-6165
Mailing address
406 EAST ELM STREET, PO BOX 879, CARSON CITY, MI 48811
(989) 584-3971
(989) 584-3729
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301080741
MI
208VP0014X
Interventional Pain Medicine Physician
4301080741
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4635150
—
MI
Enumeration date
04/05/2006
Last updated
06/03/2022
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