Individual
MRS. DEANA ANNE BHAMIDIPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4900 BROAD RD, HOSPITALIST OFFICE @ COMMUNITY @ UPSTATE UNIVERSITY HOS, SYRAUSE, NY 13215
(315) 492-5305
(315) 492-5320
Mailing address
4900 BROAD RD, HOSPITALIST OFFICE @ COMMUNITY @ UPSTATE UNIVERSITY HOS, SYRAUSE, NY 13215
(315) 492-5305
(315) 492-5320
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002995
VA
363A00000X
Physician Assistant
011009
NY
Other
Enumeration date
11/02/2006
Last updated
10/23/2013
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