Individual
BHAVIKA MAHESH PATIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
232 MAPLE SPRINGS DR, MANCHESTER, TN 37355-3764
(859) 233-4511
Mailing address
232 MAPLE SPRINGS DR, MANCHESTER, TN 37355-3764
(859) 233-4511
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3015
TN
Other
Enumeration date
08/23/2011
Last updated
07/26/2012
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