Internal Medicine
Mr. SHASHANK BATHULA DO
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1467955401 · enumerated 2018-03-15 · record updated 2024-07-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: SHASHANK BATHULA
Addresses and phones
- Practice location 3680 NW SAMARITAN DR, CORVALLIS, OR, 97330-3737 (541) 754-1150 Google Maps Apple Maps OpenStreetMap
- Mailing address 444 NW ELKS DR, CORVALLIS, OR, 97330-3745 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · License 5151014660 MI
- Student in an Organized Health Care Education/Training Program 390200000X
- Internal Medicine 207R00000X · Primary · License DO218912 OR
In this directory
Locations and evidence
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Practice location
CORVALLIS, OR, 973303737
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.