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Individual

DR. SHUBHA LAKSHMI BHAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6530 HULL STREET RD, RICHMOND, VA 23224
(804) 674-3425
(804) 554-5388
Mailing address
1395 NW 167TH ST APT 1101, MIAMI GARDENS, FL 33169-5710
(305) 628-6117

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101265437
VA
207R00000X
Internal Medicine Physician
MD459670
PA

Other

Enumeration date
06/12/2013
Last updated
10/22/2019
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