THEJASWI BANDIKATLA

HARLEM MEDICAL GROUP PC

Dr THEJASWI BANDIKATLA is a female medical professional, specializing in Internal Medicine. She graduated in 2011.

Contact

HARLEM MEDICAL GROUP PC

392 BEDFORD PARK BLVD
BRONX
NY
104582415

Tel: 7183640100

THEJASWI BANDIKATLA Information

Npi 1346595139
Pac Id 6800114919
Professional Enrollment Id I20161213000303
Last Name BANDIKATLA
First Name THEJASWI
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1 GERIATRIC MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties GERIATRIC MEDICINE
Organization Legal Name HARLEM MEDICAL GROUP PC
Group Practice Pac Id 1557526431
Number Of Group Practice Members 6
Line 1 Street Address 392 BEDFORD PARK BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BRONX
State NY
Zip Code 104582415
Phone Number 7183640100
Hospital Affiliation Ccn 1 100072
Hospital Affiliation Lbn 1 FLORIDA HOSPITAL FISH MEMORIAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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