Bhagyam, Chella R

Bhagyam, Chella R is an individual health care provider with primary practice located at 70 Bower Dr Ste 240 , Medford OR 97501-3689. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Bhagyam, Chella R can be contacted via phone (541) 732-8790.

Contact Information

Primary practice address
70 Bower Dr Ste 240 Medford OR 97501-3689
Phone: (541) 732-8790
Fax: (541) 732-3415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO211472 Oregon
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X DO211472 Oregon

Profile Details

NPI number 1255836128
LBN Legal business name Bhagyam, Chella R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2018
Last updated Nov 29th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255836128 NPPES
Oregon MEDICAID 500807581

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