Bhavani Peddagovindu
Internist Geriatric Medicine
1900 Woodland Dr
Coos Bay
, Oregon 97420-2045
Bhavani Peddagovindu
Internist Geriatric Medicine
1900 Woodland Dr
Coos Bay
, Oregon 97420-2045
(541) 266-4572
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Bhavani Peddagovindu
- 1900 Woodland Dr
- Coos Bay, OR
- Zip : 97420-2045
- Fax : (541) 266-4572
- Phone : (541) 267-5151
Second Address
- Bhavani Peddagovindu
- 1900 Woodland Dr
- Coos Bay, OR
- Zip : 97420-2045
- Fax : (541) 266-4572
- Phone : (541) 267-5151
Reviews
FAQs
Where did Bhavani Peddagovindu attend graduate school?
Where did Bhavani Peddagovindu do her residency?
Where did Bhavani Peddagovindu do her fellowship?
Is Bhavani Peddagovindu board certified?
What type of doctor is Bhavani Peddagovindu
In what state does Bhavani Peddagovindu practice in?
Where is Bhavani Peddagovindu ’s practice located?
What is Bhavani Peddagovindu ’s gender?
Is Bhavani Peddagovindu a sole practitioner?
Is Bhavani Peddagovindu accepting new patients?
What languages does Bhavani Peddagovindu speak?
Does Bhavani Peddagovindu accept insurance?
Does Bhavani Peddagovindu offers telemedicine?
What is Bhavani Peddagovindu ’s professional license number?
What is Bhavani Peddagovindu ’s NPI number?
Does Bhavani Peddagovindu have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | MD158124 | OR |
| Y | 111NI0900X | Internist | MD158124 | OR |
| N | 207RG0300X | Geriatric Medicine | MD158124 | OR |
National Provider Identifier
| NPI | 1013167303 |
|---|---|
| Provider Name | Bhavani Peddagovindu |
| First Address | Coos Bay, OR 97420-2045 |
| Second Address | Coos Bay, OR 97420-2045 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/09/2008 |
| Last Update Date | 01/10/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1407812365 | NBMC GROUP NPI (01) | OR |
| 161133 | NBMC GROUP MEDICAID (01) | OR |
| 500648004 | (05) | OR |
| 930635514 | NBMC GROUP TAX ID FOR BILLING (01) | OR |
| P01278284 | RAILROAD MEDICARE (01) | OR |
| R0000WFBTV | NBMC-GROUP MEDICARE (01) | OR |
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.