Individual
DHANANJAY BHAVSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 DUBOIS DR, WARSAW, IN 46580-3210
(574) 267-3200
(574) 372-7649
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3513
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01085302A
IN
207R00000X
Internal Medicine Physician
35095548
OH
207R00000X
Internal Medicine Physician
D0061719
MD
208M00000X
Hospitalist Physician
35095548
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000664716
ANTHEM
OH
05
—
300048875
—
IN
05
—
3058471
—
OH
Enumeration date
07/10/2006
Last updated
12/15/2021
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