MR. Chinagandham Srinivisa Bhupathi

NPI #1114911963 in Staten Island, New York

Provider Information

NPI Number: 1114911963
Entity Type: Individual
Name: MR. Chinagandham Srinivisa Bhupathi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Sep 8, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 11 RALPH PL
Address 2: SUITE 102
City: Staten Island
State: New York
ZIP Code: 10304-4419
Phone: (718) 447-6545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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