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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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