Individual
DR. HADI BHURGRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL DR, KETCHUM, ID 83340
(208) 727-8888
(208) 727-8889
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-3581
(573) 202-2408
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
2016040197
MO
207RG0100X
Gastroenterology Physician
Primary
9371944
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015401
MEDICARE
MO
05
—
507013605
—
MO
Enumeration date
05/26/2012
Last updated
03/26/2025
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