Individual
MONIKA BHAGAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3118 S LAFOUNTAIN ST, KOKOMO, IN 46902-3710
(314) 954-9545
Mailing address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
(317) 576-1335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01072607A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201221710
—
IN
Enumeration date
09/17/2012
Last updated
01/24/2023
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