Individual
SANDEEP VIDYADHAR BHADKAMKAR
Active
Individual
SANDEEP VIDYADHAR BHADKAMKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00025799
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25799
MEDICAL LICENSE
AL
05
—
631706030
—
AL
01
—
G859
MEDICARE GROUP NUMBER
AL
01
—
P00382845
RAILROAD MEDICARE
—
Enumeration date
03/23/2006
Last updated
04/04/2019
Update your record
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