Individual
DR. BHAGWANT B BORKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 310, FORT WAYNE, IN 46845-1733
(260) 373-9700
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(260) 266-6013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18706
KY
207RG0100X
Gastroenterology Physician
Primary
01034839A
IN
207RG0100X
Gastroenterology Physician
18706
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0703201
MEDICARE PROVIDER #
KY
01
—
1048997
PASSPORT
KY
05
—
64187065
—
KY
Enumeration date
07/11/2007
Last updated
10/03/2022
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