Basic Information
| Provider Information | |||||||||
| NPI: | 1962073106 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KATRAM | ||||||||
| FirstName: | BHASKAR | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 435 VASAVI INDRAPRASTHA APARTMENTS STREET NO. 1 | ||||||||
| Address2: | CZECH COLONY SANATHNAGAR | ||||||||
| City: | HYDERABAD | ||||||||
| State: | TELANGANA | ||||||||
| PostalCode: | 500018 | ||||||||
| CountryCode: | IN | ||||||||
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| Practice Location | |||||||||
| Address1: | UNIVERSITY OF KANSAS MEDICAL CENTER-CHILD PSYCHIATRY | ||||||||
| Address2: | 3901 RAINBOW RAINBOW BLVD., MS 4015 | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | KS | ||||||||
| PostalCode: | 66160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9135886492 | ||||||||
| FaxNumber: | 9135886400 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2021 | ||||||||
| LastUpdateDate: | 07/08/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.