Individual
PRAMILA J BHARWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 E APPLE ST, SUITE 5253, DAYTON, OH 45409-2939
(937) 208-2552
(937) 208-6154
Mailing address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-00-1770
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067429
—
OH
Enumeration date
06/15/2005
Last updated
04/01/2013
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