Provider Demographics
NPI:1649762022
Name:BUDIGI, BHAVANA (MD)
Entity Type:Individual
Prefix:MS
First Name:BHAVANA
Middle Name:
Last Name:BUDIGI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WAKE FOREST BAPTIST MEDICAL CENTRE
Mailing Address - Street 2:ONE MEDICAL CENTRE BOULEVARD
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-1008
Mailing Address - Country:US
Mailing Address - Phone:336-716-2471
Mailing Address - Fax:336-716-0555
Practice Address - Street 1:WAKE FOREST BAPTIST MEDICAL CENTRE
Practice Address - Street 2:ONE MEDICAL CENTRE BOULEVARD
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-1008
Practice Address - Country:US
Practice Address - Phone:336-716-2471
Practice Address - Fax:336-716-0555
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program