Individual
RAVINDRA KUMAR BHACHAWAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7 WOODBURY FARMS DR, WOODBURY, NY 11797-1242
(631) 465-9333
Mailing address
PO BOX 852, WHEATLEY HEIGHTS, NY 11798-0852
(631) 465-9333
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
246300
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03120867
—
NY
Enumeration date
09/14/2007
Last updated
12/30/2020
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