Individual
R BHAWANI PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 392-7445
(219) 703-6937
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01036993
IN
2084P0800X
Psychiatry Physician
Primary
01036993A
IN
2084P0800X
Psychiatry Physician
CMD16105
RI
Other
Enumeration date
03/28/2006
Last updated
09/23/2022
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