Individual
BHAVIK JARIWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 703-5238
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 703-5238
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T2187
TX
207Q00000X
Family Medicine Physician
T2187
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2018
Last updated
09/28/2023
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