Individual
DEVINDERJIT SINGH BHANGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4642 GENESYS PKWY, GRAND BLANC, MI 48439-8067
(810) 606-7152
(810) 606-7155
Mailing address
PO BOX 835, TROY, MI 48099-0835
(810) 606-7152
(810) 606-7155
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
4301071280
CA
2084N0400X
Neurology Physician
Primary
4301071280
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0983359
HPM
—
01
—
1302504101
BCBS
—
05
—
3498834
—
MI
01
—
DB071280
BCBS
—
01
—
P99368
BCN
—
Enumeration date
10/17/2006
Last updated
10/30/2024
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