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Individual

DR. NIKHIL BHAGAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 614-2648
Mailing address
PO BOX 64358, BALTIMORE, MD 21264-4358
(410) 614-2648

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
A103645
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
D69407
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
417583200
MD
Enumeration date
02/03/2009
Last updated
10/13/2009
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