Provider Demographics
NPI:1619659794
Name:KORRAPOLU, HARSHA BHARADWAJ (MD, MBBS)
Entity Type:Individual
Prefix:DR
First Name:HARSHA BHARADWAJ
Middle Name:
Last Name:KORRAPOLU
Suffix:
Gender:M
Credentials:MD, MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BROOKDALE HOSPITAL MEDICAL CENTER, 1 BROOKDALE PLAZA
Mailing Address - Street 2:BROOKLYN
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:11213
Mailing Address - Country:US
Mailing Address - Phone:718-240-5435
Mailing Address - Fax:718-240-6029
Practice Address - Street 1:BROOKDALE HOSPITAL MEDICAL CENTER, 1 BROOKDALE PLAZA
Practice Address - Street 2:BROOKLYN
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:11213
Practice Address - Country:US
Practice Address - Phone:718-240-5435
Practice Address - Fax:718-240-6029
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program