Bhyravabhotla, Rama
Bhyravabhotla, Rama is an individual health care provider with primary practice located at 325 Mdos/Sgomf 340 Magnolia Circle, Tyndall Afb FL 32403. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bhyravabhotla, Rama can be contacted via phone (850) 283-7589.Contact Information
Primary practice address
325 Mdos/Sgomf 340 Magnolia Circle
Tyndall Afb FL 32403
Phone: (850) 283-7589
Fax: (850) 283-7129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1215911573 |
|---|---|
| LBN Legal business name | Bhyravabhotla, Rama |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Nov 23rd, 2007 - about 19 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.
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