Individual
SHAMBHU BHAGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 EAST BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-8040
Mailing address
1600 EAST BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-8040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019024537
MO
208M00000X
Hospitalist Physician
Primary
2019024537
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200074032
—
MO
Enumeration date
06/30/2016
Last updated
09/19/2024
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