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Individual

DR. NIHAR R. BHOWMIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 GOODE WAY, SUITE 103, PORTSMOUTH, VA 23704-2266
(757) 399-0701
(757) 399-3731
Mailing address
3901 PLUM LN, CHESAPEAKE, VA 23321-3519
(757) 465-4664
(757) 399-3731

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101053028
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110007071
MEDICARE PROVIDER ID
VA
01
282827
ANTHEM BCBS
05
5811902
VA
Enumeration date
05/20/2006
Last updated
01/21/2016
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