Organization
GOSHEN MEDICAL PRACTICE,LLC
Active
Organization
GOSHEN MEDICAL PRACTICE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DICKY G BHAGAT M.D. (SOLE PROPERITOR OF LLC)
(574) 534-6757
Entity
Organization
Contact information
Practice address
2240 KARISA DR, SUITE1, GOSHEN, IN 46526-6943
(574) 534-6757
(574) 537-0357
Mailing address
2240 KARISA DR, SUITE1, GOSHEN, IN 46526-6943
(574) 534-6757
(574) 537-0357
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01054743A
IN
Other
Enumeration date
10/13/2006
Last updated
02/22/2024
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