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Individual

DR. NISHIN ANIL BHADKAMKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001382
GA
207RX0202X
Medical Oncology Physician
Primary
N9677
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
283744501
TX
01
8W4853
BCBS
TX
Enumeration date
01/15/2008
Last updated
01/19/2012
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