# BANTU SAMRIDHI CHHANGANI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114198223
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 01070080A | IN | — |
| 207R00000X | Internal Medicine Physician | 4301081132 | MI | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 01070080A | IN | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 4301081132 | MI | — |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | 4301081132 | MI | — |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 12/04/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1114198223 | — | MI |