Individual
BHAVAGAN S MAGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
008618
ME
207L00000X
Anesthesiology Physician
Primary
ME85406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29222
FL BCBS PROVIDER #
FL
05
—
297670099
—
ME
01
—
300803700
DOL ACS (FECA) W/C
FL
01
—
P00009748
MEDICARE RAILROAD
FL
Enumeration date
08/11/2005
Last updated
12/12/2012
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