Organization
VISAVIS HEALTH CARE MEDICAL GROUP OF KY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REKHA BHANDARI (OWNER)
(212) 734-6621
Entity
Organization
Contact information
Practice address
1381 CAMPBELL LN, BOWLING GREEN, KY 42104-1049
(929) 491-7333
Mailing address
831 BEDFORD AVE STE 530, BROOKLYN, NY 11205-2801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/16/2023
Last updated
09/21/2023
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