Bhupathi, Chinagandham Srinivisa

Bhupathi, Chinagandham Srinivisa is an individual health care provider with primary practice located at 11 Ralph Pl Suite 102, Staten Island NY 10304-4419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bhupathi, Chinagandham Srinivisa can be contacted via phone (718) 447-6545.

Contact Information

Primary practice address
11 Ralph Pl Suite 102 Staten Island NY 10304-4419
Phone: (718) 447-6545
Fax: (718) 447-5297
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 116509 New York

Profile Details

NPI number 1114911963
LBN Legal business name Bhupathi, Chinagandham Srinivisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114911963 NPPES
New York MEDICAID 00215816

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