Individual provider · Type 1 NPI

Harathi Bhooma, MD

Family Medicine Physician · O Fallon, IL

NPI number 1407424732 Active

Practice location

1 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1099

Call (618) 233-7880 Map

Mailing address

3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284

Other practice locations

  • 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 · (816) 214-5548
  • 1000 Eleven S Ste 4A, Columbia, IL 62236-1077 · (617) 206-6120

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X2021017276 (MO)
Family Medicine Physician Primary 207Q00000X036173617 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1407424732

Harathi Bhooma, MD's National Provider Identifier is 1407424732, issued on Jun 14, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in O Fallon, IL. The record was last updated on Mar 24, 2026.