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Organization
VISAVIS HEALTH CARE MEDICAL GROUP OF KY LLC
Active
Organization
VISAVIS HEALTH CARE MEDICAL GROUP OF KY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REKHA BHANDARI (OWNER)
(212) 734-6621
Entity
Organization
Contact information
Practice address
1381 CAMPBELL LN, BOWLING GREEN, KY 42104-1049
(929) 491-7333
Mailing address
831 BEDFORD AVE STE 530, BROOKLYN, NY 11205-2801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/16/2023
Last updated
09/21/2023
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