Individual
SANDEEP VIDYADHAR BHADKAMKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6801 AIRPORT BLVD, MOBILE, AL 36608-3709
(251) 266-3580
(251) 266-3581
Mailing address
6701 AIRPORT BLVD STE D143, MOBILE, AL 36608-6701
(251) 342-3949
(251) 266-3361
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
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