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Organization
DEVINDERJIT S BHANGU, MD PLLC
Active
Organization
DEVINDERJIT S BHANGU, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVINDERJIT S BHANGU MD (OWNER)
(810) 606-7152
Entity
Organization
Contact information
Practice address
3605 GENESYS PKWY, GRAND BLANC, MI 48439-8070
(810) 606-7152
(810) 606-7155
Mailing address
PO BOX 835, TROY, MI 48099-0835
(248) 346-3062
(810) 606-7155
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
4301071280
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0250410
BLUE CARE NETWORK OF MICHIGAN
MI
01
—
0983359
HEALTH PLUS OF MICHIGAN
MI
05
—
3498834
—
MI
Enumeration date
05/07/2008
Last updated
04/28/2011
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