| Doctor Name: | DR. BHARATI PENUPATRUNI |
| NPI Number: | 1033150776 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D |
| License Number: | 25MA05220800 |
| Business Practice Address: | 666 Plainsboro Rd Suite 1005 Plainsboro, NJ - 085363030 |
| Business Phone Number: | 6097993119 |
| Business Fax Number: | 7322740773 |
| Mailing Address: | 666 Plainsboro Rd, Suite 1005 PLAINSBORO |
| State: | NJ |
| Postal Code: | 085363030 |
| Phone Number: | 6097993119 |
| Fax Number: | 7322740773 |
| NPI Enumeration Date: | 06/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25MA05220800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |