Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 33359 | AL |
N | 2080N0001X | Neonatal-Perinatal Doctor | L3080R | AL |
NPI | 1104059260 |
---|---|
Provider Name | Ramachandra Bhat |
First Address | Mobile, AL 36640-0480 |
Second Address | Mobile, AL 36604-3301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2009 |
Last Update Date | 25/06/2014 |