Individual
GAUTAM DINESH BHIMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-2151
Mailing address
PO BOX 5210, NORMAN, OK 73070-5210
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00304600
NJ
Other
Enumeration date
10/18/2012
Last updated
06/16/2016
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