PAVAN K BHAMIDIPATI

ST CLOUD HOSPITAL

Dr PAVAN K BHAMIDIPATI is a female medical professional, specializing in Internal Medicine. She graduated in 2007.

Contact

ST CLOUD HOSPITAL

1406 6TH AVE N
SAINT CLOUD
MN
563031900

Tel: 3202512700

PAVAN K BHAMIDIPATI Information

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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