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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184012130 | NPPES |
| Indiana | MEDICAID | 300012715 |
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