Individual
DR. SAMEER BIPIN BAVISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 N 5TH ST, TERRE HAUTE, IN 47804-4010
(812) 242-3005
(812) 242-3054
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3157
(812) 242-3861
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01065088A
IN
207X00000X
Orthopaedic Surgery Physician
036-117902
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00718153
RAILROAD MEDICARE
IN
01
—
P00834671
RAILROAD MEDICARE
IN
Enumeration date
05/07/2007
Last updated
08/18/2010
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