Bharathan, Thayyullathil

Bharathan, Thayyullathil is an sole proprietor health care provider with primary practice located at 263 7Th Ave , Brooklyn NY 11215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bharathan, Thayyullathil can be contacted via phone (718) 246-8600.

Contact Information

Primary practice address
263 7Th Ave Brooklyn NY 11215
Phone: (718) 246-8600
Fax: (718) 246-8601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 114985 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 114985 New York

Profile Details

NPI number 1932152899
LBN Legal business name Bharathan, Thayyullathil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Sep 23rd, 2011 - about 13 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 1932152899 NPPES
New York MEDICAID 00210908

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