Individual
CHIRAG PANKAJKUMAR BAVISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
500 N KEENE ST STE 406, COLUMBIA, MO 65201-8104
(573) 884-3278
(573) 884-1351
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2021024983
MO
207RI0011X
Interventional Cardiology Physician
2021024983
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200097365
—
MO
Enumeration date
04/17/2012
Last updated
10/02/2024
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