Mr Rama Bhyravabhotla, PA-C is a
Physician Assistant based in Tyndall Afb, Florida. Mr Rama Bhyravabhotla is licensed to practice in * (Not Available) (license number ) and his current practice location is
325 Mdos/sgomf, 340 Magnolia Circle, Tyndall Afb, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 283-7589.
NPI number for Mr Rama Bhyravabhotla is 1215911573 and his current mailing address is 27 05 Eagle Drive, Tyndall Afb, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215911573.
Provider's Profile
| Full Name | Mr Rama Bhyravabhotla |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
|---|
| Location | 325 Mdos/sgomf, Tyndall Afb, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1215911573
- Provider Enumeration Date: 12/01/2005
- Last Update Date: 11/23/2007
Medical Identifiers
Medical identifiers for Mr Rama Bhyravabhotla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215911573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Rama Bhyravabhotla is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Rama Bhyravabhotla, PA-C
27 05 Eagle Drive,
Tyndall Afb, FL 32403-5604
Ph: (850) 283-7589 | Mr Rama Bhyravabhotla, PA-C
325 Mdos/sgomf, 340 Magnolia Circle,
Tyndall Afb, FL 32403
Ph: (850) 283-7589 |
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