Individual
SHAHIN BHAGWAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(310) 365-7385
Mailing address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(310) 365-7385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
010502
AZ
208M00000X
Hospitalist Physician
Primary
010502
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2020
Last updated
06/25/2024
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