Healthcare Provider Details

I. General information

NPI: 1417782459
Provider Name (Legal Business Name): CITY BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2024
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 SILVERSTONE RD UNIT 212B
LAFAYETTE LA
70508-6799
US

IV. Provider business mailing address

605 SILVERSTONE RD UNIT 212B
LAFAYETTE LA
70508-6799
US

V. Phone/Fax

Practice location:
  • Phone: 440-781-7978
  • Fax:
Mailing address:
  • Phone: 440-781-7978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HARI BOGABATHINA
Title or Position: OWNER
Credential:
Phone: 440-781-7978