NPI 1023006749 · live from the CMS NPI Registry
Rajendra Bobba, MD
Anesthesiology in Bristol, CT. National Provider Identifier 1023006749, active.
NPI record
| NPI | 1023006749 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 47 Brewster Rd, Bristol, CT 06010 |
| Practice phone | 860-585-3298 |
| Mailing address | Po Box 3160, Milford, CT 06460 |
| Enumerated | October 6, 2005 |
| Last updated | October 3, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 041079 (CT) |
| Anesthesiology primary | 207L00000X | 041079 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.