Individual
SANJEEV PADAM BHAVNANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL NUCLEAR CARDIOLOGY, HARTFORD, CT 06102-5037
(860) 545-5018
Mailing address
P.O. BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
047280
CT
207RC0000X
Cardiovascular Disease Physician
047280
CT
207UN0901X
Nuclear Cardiology Physician
Primary
047280
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001472802
—
CT
Enumeration date
01/28/2008
Last updated
08/02/2013
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