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Individual

CHANDRAHAS V BHAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 W ALVERDEZ AVE, CLEWISTON, FL 33440-3504
(863) 983-1423
(863) 983-1426
Mailing address
5216 SW 5TH PL, CAPE CORAL, FL 33914-6504
(239) 945-0893

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME75476
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269997400
FL
Enumeration date
08/12/2006
Last updated
10/23/2008
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