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Individual

DR. SANJEEV K. BHAVNANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9293 STATE ROUTE 43 STE B, STREETSBORO, OH 44241-5376
(330) 626-1113
(330) 626-1133
Mailing address
9293 STATE ROUTE 43 STE B, STREETSBORO, OH 44241-5376
(330) 626-1113
(330) 626-1133

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35079601
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
35-079601
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
77555
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2254895
OH
Enumeration date
09/25/2006
Last updated
06/11/2019
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