Bhyravabhotla, Rama

Bhyravabhotla, Rama is an individual health care provider with primary practice located at 325 Mdos/Sgomf 340 Magnolia Circle, Tyndall Afb FL 32403. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bhyravabhotla, Rama can be contacted via phone (850) 283-7589.

Contact Information

Primary practice address
325 Mdos/Sgomf 340 Magnolia Circle Tyndall Afb FL 32403
Phone: (850) 283-7589
Fax: (850) 283-7129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1215911573
LBN Legal business name Bhyravabhotla, Rama
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Nov 23rd, 2007 - about 17 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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