SHASHANK BATHULA

CORVALLIS, OR
NPI1467955401
Professional NameSHASHANK P BATHULA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  DO218912)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MI  5151014660)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-15
Last Update Date2024-07-18
Business Address
Mr. SHASHANK BATHULA DO
3680 NW SAMARITAN DR
CORVALLIS, OR 97330-3737
Phone number: 541-754-1150
Mailing Address
Mr. SHASHANK BATHULA DO
444 NW ELKS DR
CORVALLIS, OR 97330-3745
Phone number: