Individual
DISHANG RAJENDRAKUMAR BHAVSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 328-7930
Mailing address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-6604
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2023048812
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
02/25/2026
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