Individual
JEET BHAIDASNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2650 N WYATT DR, TUCSON, AZ 85712-6106
(516) 712-7650
Mailing address
4963 N ROCK CANYON RD, TUCSON, AZ 85750-6032
(516) 712-7650
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
008569
AZ
208100000X
Physical Medicine & Rehabilitation Physician
282447-1
NY
Other
Enumeration date
06/12/2012
Last updated
01/07/2025
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