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Individual

RAVIKUMAR B BRAHMBHATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
25MA08758600
NJ
2086S0127X
Trauma Surgery Physician
Primary
25MA08758600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D09771800
CDS( CONTROLLED DANGEROUS SUBSTANCE)
NJ
Enumeration date
12/08/2010
Last updated
06/28/2016
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