Individual
DR. FALGUNY I BHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
875 OAK ST SE, STE 3010, SALEM, OR 97301
(503) 399-7520
(503) 362-7344
Mailing address
875 OAK ST SE, STE 3010, SALEM, OR 97301
(503) 399-7520
(503) 362-7344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL16155
OR
207RG0100X
Gastroenterology Physician
Primary
P4849
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313945301
—
TX
01
—
752616977008
TRICARE
TX
01
—
8DN570
BCBS
TX
Enumeration date
07/16/2007
Last updated
07/14/2015
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