Gourabathini, Hari Rasad

Gourabathini, Hari Rasad is an sole proprietor health care provider with primary practice located at 615 N Michigan St 5Th Fl , South Bend IN 46601-1033. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Gourabathini, Hari Rasad can be contacted via phone (574) 647-7275.

Contact Information

Primary practice address
615 N Michigan St 5Th Fl South Bend IN 46601-1033
Phone: (574) 647-7275
Fax: (574) 647-3696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01074968A Indiana
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 01074968A Indiana

Profile Details

NPI number 1184012130
LBN Legal business name Gourabathini, Hari Rasad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2014
Last updated Apr 28th, 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 1184012130 NPPES
Indiana MEDICAID 300012715

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