Individual
DR. ADITYA AVINASH BHAGWAT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, 88MDG/SGOHC, WRIGHT PATTERSON AFB, OH 45433-5546
(937) 257-6876
Mailing address
505 PHELPS CIR, WPAFB, OH 45433-1324
(937) 252-0186
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810003283
VA
103G00000X
Clinical Neuropsychologist
PSY1000203
DC
Other
Enumeration date
09/27/2005
Last updated
09/11/2025
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