Bhasker Rao Koppula
Nuclear Medicine Specialist
Department Of Radiology University Of Utah 30 North 1900 East, #1a071
Salt Lake City
, Utah 84132-2140
Bhasker Rao Koppula
Nuclear Medicine Specialist
Department Of Radiology University Of Utah 30 North 1900 East, #1a071
Salt Lake City
, Utah 84132-2140
(801) 581-7553
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Bhasker Rao Koppula
- Department Of Radiology University Of Utah 30 North 1900 East, #1a071
- Salt Lake City, UT
- Zip : 84132-2140
- Phone : (801) 581-7553
Second Address
- Bhasker Rao Koppula
- Department Of Radiology University Of Utah 30 North 1900 East, #1a071
- Salt Lake City, UT
- Zip : 84132-2140
- Phone : (801) 581-7553
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | 7682213-1205 | UT |
National Provider Identifier
| NPI | 1417033267 |
|---|---|
| Provider Name | Bhasker Rao Koppula |
| First Address | Salt Lake City, UT 84132-2140 |
| Second Address | Salt Lake City, UT 84132-2140 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2006 |
| Last Update Date | 17/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 339350 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
| 8443277 | (05) | WA |
| I46340 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.