NPI 1982804969 · live from the CMS NPI Registry
Bhaskar Purushottam, MD
Internal Medicine, Cardiovascular Disease in Rapid City, SD. National Provider Identifier 1982804969, active.
NPI record
| NPI | 1982804969 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 4150 5th St, Rapid City, SD 57701 |
| Practice phone | 605-755-4300 |
| Mailing address | 353 Fairmont Blvd, Attn Mss, Rapid City, SD 57701 |
| Enumerated | July 19, 2007 |
| Last updated | August 18, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT189705 (PA) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 9505 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.