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Individual

DR. HEMANTH KUMAR BHIMASANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,

Contact information

Practice address
321 LOIS LN, STATE COLLEGE, PA 16801-2561
(814) 861-3012
Mailing address
321 LOIS LN, STATE COLLEGE, PA 16801-2561
(814) 861-3012

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
24272
NE
2084P0800X
Psychiatry Physician
Primary
MD 424085
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010400300001
PA
05
47066229013
NE
01
P00728210
RAILROAD MEDICARE
Enumeration date
09/21/2006
Last updated
06/10/2013
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