Bhagavath, Bala
Bhagavath, Bala is an individual health care provider with primary practice located at 2365 Deming Way , Middleton WI 53562-5512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Bhagavath, Bala can be contacted via phone (608) 824-6160.Contact Information
Primary practice address
2365 Deming Way
Middleton WI 53562-5512
Phone: (608) 824-6160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 72546-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 267127 | New York |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | MD12320 | Rhode Island |
Profile Details
| NPI number | 1780889618 |
|---|---|
| LBN Legal business name | Bhagavath, Bala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2007 |
| Last updated | Jan 25th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780889618 | NPPES |
| New York | MEDICAID | 03508014 |
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