BALA BHAGAVATH

MIDDLETON, WI
NPI1780889618
Former NameBALASUBRAMANIAN BHAGAVATH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology
(Licence: WI  72546-20)
Additional Taxonomies207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology
(Licence: NY  267127)
207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology
(Licence: RI  MD12320)
Enumeration Date2007-06-20
Last Update Date2021-01-25
Business Address
BALA BHAGAVATH M.D.
2365 DEMING WAY
MIDDLETON, WI 53562-5512
Phone number: 608-824-6160
Mailing Address
BALA BHAGAVATH M.D.
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number: