Individual
BHAWANI BALLAMUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6376
Mailing address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6376
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
46027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831148691
—
WI
Enumeration date
05/09/2006
Last updated
10/28/2020
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