Individual
BHASKAR U SHENAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301035908
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3005073501
BCBS OF MI
MI
01
—
4301035908
STATE OF MICHIGAN MEDICAL LICENSE
MI
05
—
4505263
—
MI
01
—
P00017881
RAILROAD MEDICARE
—
Enumeration date
08/03/2005
Last updated
01/12/2017
Update your record
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