Individual
SHIVAM HARESH BHANVADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 W BETHANY HOME RD STE 200, PHOENIX, AZ 85015-2443
(602) 246-5525
Mailing address
3233 S MCCLINTOCK DR, TEMPE, AZ 85282-5602
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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