Individual
DAVID R BHASKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 COLE ST, ENUMCLAW, WA 98022-3504
(360) 802-5760
(253) 426-6344
Mailing address
1818 COLE ST, ENUMCLAW, WA 98022-3504
(360) 802-5760
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036-081437
IL
207V00000X
Obstetrics & Gynecology Physician
35120020
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60660936
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013925049
—
WI
01
—
10811
DEAN HEALTH PLAN HMO
—
05
—
2072284
—
WA
Enumeration date
08/04/2006
Last updated
12/01/2020
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