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Individual

DR. MOHIT BHASIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 SOUTHAMPTON AVE STE A, NORFOLK, VA 23510-1008
(757) 201-1008
(757) 663-5662
Mailing address
801 SOUTHAMPTON AVE STE A, NORFOLK, VA 23510-1008
(757) 201-9571
(757) 663-5662

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101239817
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-001
TRICARE/CHAMPUS
VA
01
0101239817
MEDICAL LICENSE
VA
05
010312060
VA
01
067YC
BCBS
NC
01
10009765
OPTIMA/SENTARA
VA
01
10012546
SENTARA
VA
05
1124070693
VA
01
196345
ANTHEM BCBS
VA
01
247584
ANTHEM BC/BS (EVMS HEALTH SERVICES)
VA
01
3147280
UHC/MAMSI
05
5904421
NC
01
PAR
MULTIPLAN
VA
Enumeration date
05/16/2006
Last updated
04/18/2024
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