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Individual

INDIRA BHAGAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201
(313) 745-1436
(313) 745-5867
Mailing address
4201 ST. ANTOINE UHC 5D MAILBOX# 226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201
(313) 966-5051
(313) 966-0665

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.085506
OH
208000000X
Pediatrics Physician
4301085471
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301085471
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000487858
ANTHEM
OH
01
05227
PARAMOUNT
OH
05
2621167
OH
05
4900957
MI
05
5211198
MI
01
7724838
AETNA
OH
Enumeration date
07/13/2006
Last updated
09/07/2016
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