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Individual

DR. BHARATI KAMDAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7345 FAR HILLS AVE, DAYTON, OH 45459-4415
(937) 433-4877
(937) 433-4975
Mailing address
861 KELSEY CT, CENTERVILLE, OH 45458-2767

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-06-1709
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000017166
ANTHEM BLUE CROSS
OH
05
0909824
OH
01
12-20103
UNITED HEALTHCARE
OH
01
31-1368453
TAXPAYER IDENTIFICATION
OH
Enumeration date
12/08/2006
Last updated
07/11/2016
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