Organization Name: | DIGESTIVE HEALTH CONSULTANTS, INC. |
NPI Number: | 1124301700 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAMAKRISHNA BANDI (DOCTOR) |
Mailing Address: | 275 Graham Rd Ste 11 Cuyahoga Falls |
State: | OH US |
Postal Code: | 442232259 |
Phone Number: | 3309201212 |
Fax Number: | 3309230508 |
NPI Enumeration Date: | 09/21/2011 |
NPI Last Update Date: | 09/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | COA 12590-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |