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Contact Information

IMELDA S BULATAO, MD
2525 DESALES AVE
PATHOLOGY LABORATORY
CHATTANOOGA, TN37404
 Phone: 423-495-8703
 Fax: 423-495-6175
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Dermatopathology

207ZD0900X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for IMELDA S BULATAO · (Female)

NPI Number 1114981602
Status Active
Credentials MD
Entity Individual
Enumeration date 04/13/2006
Last updated 09/28/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 35906
  • MO License # R7H57
  • TN License # MD00040961
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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