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Individual

DR. KISHOR MALLIKARJUN BHENDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
602 INDIANA AVE, SWCC, LUBBOCK, TX 79415-3364
(806) 775-8600
(806) 775-8602
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Q6496
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
Q6496
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
813355
AZ
Enumeration date
07/24/2008
Last updated
10/24/2018
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