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Individual

MIHIR BRAHMBHATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2115 S FREMONT AVE STE 3300, SPRINGFIELD, MO 65804-2246
(417) 820-5200
Mailing address
2115 S FREMONT AVE STE 3300, SPRINGFIELD, MO 65804-2246
(417) 820-5200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015020141
MO
207RG0100X
Gastroenterology Physician
Primary
2023010348
MO

Other

Enumeration date
06/23/2015
Last updated
09/14/2023
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