Provider Demographics
NPI:1518127695
Name:BURUGAPALLI, BHUVANESWARI (MD)
Entity Type:Individual
Prefix:DR
First Name:BHUVANESWARI
Middle Name:
Last Name:BURUGAPALLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BHUVANESWARI
Other - Middle Name:
Other - Last Name:B
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:221 N CELIA AVE
Mailing Address - Street 2:ATTN: TINA SELVEY
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47303-4609
Mailing Address - Country:US
Mailing Address - Phone:765-529-4090
Mailing Address - Fax:
Practice Address - Street 1:2401 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-3428
Practice Address - Country:US
Practice Address - Phone:765-747-4306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01068962A208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201028140Medicaid
INP00996486OtherRR MEDICARE
INP01784750OtherRAILROAD MEDICARE
INM400053130Medicare PIN
INP00996486OtherRR MEDICARE