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Individual
DR. CHARUDATTA SHRIKANT BAVARE
Active
Individual
DR. CHARUDATTA SHRIKANT BAVARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
N5562
TX
2086S0129X
Vascular Surgery Physician
Primary
N5562
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322780302
—
TX
05
—
322780303
—
TX
01
—
8785NT
BCBS
TX
01
—
8GD776
BCBS
TX
Enumeration date
10/29/2008
Last updated
10/18/2017
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