# SUBHASH BHANOT, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376572172
- **Authorized official:** SUBHASH BHANOT MD (PRESIDENT)
- **Authorized official phone:** (304) 752-2555

## Contact information

- **Practice address:** 140 STOLLINGS AVE, SUITE 1, LOGAN, WV 25601-4035
- **Practice address phone:** (304) 752-2555
- **Practice address fax:** (304) 752-2561
- **Mailing address:** 140 STOLLINGS AVE, SUITE 1, LOGAN, WV 25601-4035
- **Mailing address phone:** (304) 752-2555
- **Mailing address fax:** (304) 752-2561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 040663 | WV | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 11/20/2007