Dr NAGABHUSHANAM R BOLLAVARAM is a male medical professional, specializing in Pulmonary Disease. He graduated in 2005.
ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.
80 HOSPITAL DR
BARBOURVILLE
KY
409067363
Tel: 6065455500
| Npi | 1548572704 |
| Pac Id | 4284876764 |
| Professional Enrollment Id | I20130813000356 |
| Last Name | BOLLAVARAM |
| First Name | NAGABHUSHANAM |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ARH MARY BRECKINRIDGE HEALTH SERVICES, INC. |
| Group Practice Pac Id | 8123293818 |
| Number Of Group Practice Members | 33 |
| Line 1 Street Address | 80 HOSPITAL DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BARBOURVILLE |
| State | KY |
| Zip Code | 409067363 |
| Phone Number | 6065455500 |
| Hospital Affiliation Ccn 1 | 180010 |
| Hospital Affiliation Lbn 1 | SAINT JOSEPH HOSPITAL |
| Hospital Affiliation Ccn 2 | 180011 |
| Hospital Affiliation Lbn 2 | SAINT JOSEPH LONDON |
| Hospital Affiliation Ccn 3 | 181316 |
| Hospital Affiliation Lbn 3 | MARY BRECKINRIDGE ARH HOSPITAL |
| 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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