Individual
ANAND SHRIPAD BHAGWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3401 CIVIC CENTER BOULEVARD, 9NW, ROOM 55, PHILADELPHIA, PA 19104-4399
(215) 590-1220
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF HEMATOLOGY/ONCOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-1190
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT215185
PA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MT215185
PA
Other
Enumeration date
06/13/2018
Last updated
06/26/2020
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