Dr PAVAN K BHAMIDIPATI is a female medical professional, specializing in Internal Medicine. She graduated in 2007.
ST CLOUD HOSPITAL
1406 6TH AVE N
SAINT CLOUD
MN
563031900
Tel: 3202512700
Npi | 1548490840 |
Pac Id | 9931358256 |
Professional Enrollment Id | I20180616000010 |
Last Name | BHAMIDIPATI |
First Name | PAVAN |
Middle Name | K |
Suffix | |
Gender | F |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2007 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialty 1 | HEMATOLOGY/ONCOLOGY |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | HEMATOLOGY/ONCOLOGY |
Organization Legal Name | ST CLOUD HOSPITAL |
Group Practice Pac Id | 4880594779 |
Number Of Group Practice Members | 144 |
Line 1 Street Address | 1406 6TH AVE N |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | SAINT CLOUD |
State | MN |
Zip Code | 563031900 |
Phone Number | 3202512700 |
Hospital Affiliation Ccn 1 | 240036 |
Hospital Affiliation Lbn 1 | ST CLOUD HOSPITAL |
Hospital Affiliation Ccn 2 | 241370 |
Hospital Affiliation Lbn 2 | ST GABRIELS HOSPITAL |
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 | M |
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