Organization
DEEPTI BHASIN MD INC
Active
Organization
DEEPTI BHASIN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPTI J BHASIN MD (PRESIDENT)
(478) 333-3058
Entity
Organization
Contact information
Practice address
402 OSIGIAN BLVD, SUTIE 400, WARNER ROBINS, GA 31088-8988
(478) 333-3058
(478) 333-3496
Mailing address
402 OSIGIAN BLVD, SUTIE 400, WARNER ROBINS, GA 31088-8988
(478) 333-3058
(478) 333-3496
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408444500A
—
GA
Enumeration date
06/15/2010
Last updated
06/11/2012
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