Individual
CHANDAR BHIMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1412 MILSTEAD AVE NE STE 300, CONYERS, GA 30012-3877
(770) 918-2320
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
43875
GA
207R00000X
Internal Medicine Physician
43875
GA
207R00000X
Internal Medicine Physician
MD35540
WA
207RH0000X
Hematology (Internal Medicine) Physician
3611
WI
207RH0003X
Hematology & Oncology Physician
Primary
43875
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114073
—
WA
05
—
1871654509
—
WI
Enumeration date
12/13/2006
Last updated
01/09/2024
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