Individual
RICKY BHIMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1206 E NATIONAL AVE, BRAZIL, IN 47834-2718
(812) 442-2480
Mailing address
1002 CASCADE DR, SAVOY, IL 61874-4403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036158194
IL
207R00000X
Internal Medicine Physician
Primary
01076047A
IN
208M00000X
Hospitalist Physician
01076047A
IN
Other
Enumeration date
06/27/2013
Last updated
11/22/2022
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