HARATHI BHOOMA

O FALLON, IL
NPI1407424732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies207Q00000X Family Medicine
(Licence: MO  2021017276)
Enumeration Date2021-06-14
Last Update Date2022-03-24
Business Address
Dr. HARATHI BHOOMA MD
1 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269-1099
Phone number: 618-233-7880
Mailing Address
Dr. HARATHI BHOOMA MD
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269-1284
Phone number: 618-233-7880