Bhamidipati, Prasanta

Bhamidipati, Prasanta is an individual health care provider with primary practice located at 301 N 8Th St Suite Pav 4A, Springfield IL 62701-1041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bhamidipati, Prasanta can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
301 N 8Th St Suite Pav 4A Springfield IL 62701-1041
Phone: (217) 545-8000
Fax: (217) 545-0130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036126754 Illinois

Profile Details

NPI number 1851601462
LBN Legal business name Bhamidipati, Prasanta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2010
Last updated Mar 11th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851601462 NPPES
Illinois MEDICAID 036126754

Popular Providers