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Individual

SANJAY BHATIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD420967
PA
207T00000X
Neurological Surgery Physician
24189
WV
207T00000X
Neurological Surgery Physician
Primary
69315
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3003715000
WV
Enumeration date
02/13/2006
Last updated
06/20/2019
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