THEJA BHAMIDIPATI

PHILADELPHIA, PA
NPI1801526397
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-06-16
Last Update Date2022-06-16
Business Address
THEJA BHAMIDIPATI DO
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-3930
Mailing Address
THEJA BHAMIDIPATI DO
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: