Individual
SANJAY BHAMBRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3142 HORIZON RD, SUITE 201, ROCKWALL, TX 75032-7809
(469) 757-4410
(469) 277-3911
Mailing address
3142 HORIZON RD, SUITE 201, ROCKWALL, TX 75032-7809
(469) 757-4410
(469) 277-3911
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
E-6068
AR
207N00000X
Dermatology Physician
N7906
TX
207ND0101X
MOHS-Micrographic Surgery Physician
E-6068
AR
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
N7906
TX
207NS0135X
Procedural Dermatology Physician
E-6068
AR
207NS0135X
Procedural Dermatology Physician
N7906
TX
Other
Enumeration date
02/29/2008
Last updated
09/27/2011
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