Individual
BHARAT V BHAVSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8731 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-1551
(219) 923-2680
(219) 923-4661
Mailing address
9660 WICKER AVE, SAINT JOHN, IN 46373-9487
(219) 923-2680
(219) 923-4661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045402A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360207
ANTHEM BCBS
IN
01
—
0091144771
BCBS OF ILLINOIS
IL
05
—
200208150
—
IN
01
—
P00215022
MEDICARE RAILROAD
IN
Enumeration date
07/29/2005
Last updated
05/14/2010
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