Individual
KRISHNA K. BOBBILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005-00533
NC
207RI0200X
Infectious Disease Physician
Primary
4425
WI
207RI0200X
Infectious Disease Physician
N5578
TX
208M00000X
Hospitalist Physician
2005-00533
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100281717
—
WI
05
—
5901740
—
NC
05
—
N0053B
—
SC
Enumeration date
02/10/2006
Last updated
10/04/2024
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