Organization
BHOWMIK MEDICAL PRACTICE
Active
Organization
BHOWMIK MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIHAR R BHOWMIK MD (PROPRIETOR)
(757) 399-0701
Entity
Organization
Contact information
Practice address
301 GOODE WAY, SUITE 103, PORTSMOUTH, VA 23704-2266
(757) 399-0701
(757) 399-3731
Mailing address
301 GOODE WAY, SUITE 103, PORTSMOUTH, VA 23704-2266
(757) 399-0701
(757) 399-3731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101053028
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22827
BCBS
—
01
—
C05686
MEDICARE PROVIDER
—
Enumeration date
10/25/2007
Last updated
10/25/2007
Update your record
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