Individual
DR. ANANT D BHAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, DEPT OF RADIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-3592
(802) 847-4822
Mailing address
789 SOUTHVIEW DR, RICHMOND, VT 05477-9068
(802) 847-3592
(802) 847-4822
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
042-0010231
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008084
—
VT
Enumeration date
07/16/2006
Last updated
07/08/2007
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