Bhamidipati, Pavan Kumar

Bhamidipati, Pavan Kumar is an individual health care provider with primary practice located at 1406 6Th Ave N , Saint Cloud MN 56303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Bhamidipati, Pavan Kumar can be contacted via phone (302) 229-4907.

Contact Information

Primary practice address
1406 6Th Ave N Saint Cloud MN 56303
Phone: (302) 229-4907
Fax: (302) 229-5160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2012019678 Missouri
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2012019678 Missouri
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 63587 Minnesota

Profile Details

NPI number 1548490840
LBN Legal business name Bhamidipati, Pavan Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2009
Last updated May 18th, 2018 - about 6 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 1548490840 NPPES
Illinois MEDICAID ENROLLED

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