Harathi Bhooma, MD Valid NPI
Individual provider · Family Medicine Physician · O Fallon, IL
- NPI
- 1407424732
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 036173617 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-06-14
- Last updated
- 2026-03-24
Practice location
1 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1099
(618) 233-7880