Hari Rasad Gourabathini
M.D | Pediatric Critical Care Medicine | Male
Hari Rasad Gourabathini, M.D is a South Bend, Indiana based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Hari Rasad Gourabathini is
615 N Michigan St 5th Fl, South Bend, Indiana - 46601-1033. He can be contacted on phone at
574-647-7275 and fax number 574-647-3696.
Hari Rasad Gourabathini is a sole proprietor of his business.
NPI number (Unique professional ID) for Hari Rasad Gourabathini is
1184012130 which was assigned by NPPES on 29 Dec, 2014 and it was last updated on 28 Apr, 2023.
Hari Rasad Gourabathini license number is
01074968A for Pediatrics, Pediatric Critical Care Medicine (2080P0203X) in Indiana.
Hari Rasad Gourabathini is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Hari Rasad Gourabathini basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics, Pediatric Critical Care Medicine |
---|
Provider Name : | Hari Rasad Gourabathini |
---|
Credential : | M.D |
---|
Gender : | Male |
---|
Sole Proprietor : | Yes |
---|
Business Address:
Hari Rasad Gourabathini address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 615 N Michigan St 5th Fl South Bend, IN, 46601-1033 United States |
---|
Phone Number : | 574-647-7275 |
---|
Fax Number : | 574-647-3696 |
---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1184012130 |
---|
NPI Entity Type : | Individual |
---|
First Enrolment Date : | 29 Dec, 2014 |
---|
Last Updated On : | 28 Apr, 2023 |
---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Hari Rasad Gourabathini are as mentioned. Primary taxonomy code for Hari Rasad Gourabathini, M.D is
2080P0203X (Pediatrics, Pediatric Critical Care Medicine).
Taxonomy Code | Speciality | Primary | License No. | State |
---|
208000000X | Pediatrics | No | 01074968A | IN |
2080P0203X | Pediatrics, Pediatric Critical Care Medicine | Yes | 01074968A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Hari Rasad Gourabathini such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
---|
300012715 | MEDICAID | IN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
---|
DIRECT (Direct Messaging Address) | hgourabathini@mybeacon.cernerdirect.com
| No affiliation |
|
| 615 N Michigan St Fl 5, South Bend, IN, 46601-1033 United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 710 N Niles Ave South Bend, IN, 46617-1924 United States |
---|
Phone Number : | 574-647-1610 |
---|
Fax Number : | 574-237-6069 |
---|
Business Location:
Patients can refer following map for directions to
Hari Rasad Gourabathini practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.