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Individual

AMIT BHAN

Active
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Individual

AMIT BHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301063580
MI
207RG0100X
Gastroenterology Physician
Primary
4301063580
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
336881110
MI
01
700H262220
BLUE CROSS-BLUE CROSS
01
AB063580
COMMERCIAL-COMMERCIAL NUMBER
Enumeration date
12/01/2006
Last updated
12/13/2012
Update your record

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