Doctor Name: | DR. TEDDI BACHAWATY |
NPI Number: | 1154304228 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 246567 |
Business Practice Address: | 100 South St Suite G05 Southbridge, MA - 015504051 |
Business Phone Number: | 5087655981 |
Business Fax Number: | 5087644637 |
Mailing Address: | Po Box 40, Harrington Physician Services SOUTHBRIDGE |
State: | MA |
Postal Code: | 015500040 |
Phone Number: | 5089097799 |
Fax Number: | 5087642432 |
NPI Enumeration Date: | 11/22/2005 |
NPI Last Update Date: | 01/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 246567 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |