Imelda S Bulatao, MD

Individual provider Dermatopathology (Pathology) Physician · NPI 1114981602

Imelda S Bulatao, MD is a Dermatopathology (Pathology) Physician in Chattanooga, Tennessee. Licensed in Minnesota, Missouri and Tennessee. Registered with an NPI since 2006.

Licensed in: MN, MO, TN
In the registry since: 2006
Specialties on file: 3

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.

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Practice location Address checks out

2525 Desales Ave Pathology Laboratory
Chattanooga, TN 37404
Phone: (423) 495-8703
Fax: (423) 495-6175

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Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary)	Taxonomy 207ZP0102X · Licence MD00040961 (TN)
Dermatopathology (Pathology) Physician	Taxonomy 207ZD0900X · Licence 35906 (MN)
Dermatopathology (Pathology) Physician	Taxonomy 207ZD0900X · Licence R7H57 (MO)

Record details

NPI number	1114981602
Entity type	Individual (Type 1)
Gender	Female
Credentials	MD
Sole proprietor	No
NPI enumerated	April 13, 2006
Last updated in NPPES	September 28, 2007
Mailing address	Po Box 3637, Attn Judy H Nowlin, Chattanooga, TN 37404