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Individual

DR. ASHISH ASHOK BHAVSAR

Active
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Individual

DR. ASHISH ASHOK BHAVSAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A117360
CA
208M00000X
Hospitalist Physician
Primary
A117360
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912919804
TYPE 2 NPI
CA
01
—
A117360
MEDICAL LICENSE NUMBER
CA
01
—
CG5665
RAIL ROAD MEDICARE GROUP PTAN
CA
01
—
P01292528
RAIL ROAD MEDICARE PROVIDER PTAN
CA
Enumeration date
01/23/2008
Last updated
05/13/2014
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