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NPI Code Detail

MEDICARE: DR. SANDEEP RAMESH BHAVE M.D.

MEDICARE:  DR. SANDEEP RAMESH BHAVE  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
22085R0001XRadiation Oncology Physician01082084AIN

General Provider Information

NPI Number : 1346660354
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDEEP RAMESH BHAVE M.D.
Provider Business Mailing Address
First Line : 6100 W 96TH ST STE 125
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46278-6006
Country : US
Telephone Number : 317-715-1803
Fax Number : 317-715-6200
Provider Business Practice Location Address
First Line : 6100 W 96TH ST STE 125
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46278-6006
Country : US
Telephone Number : 317-715-1803
Fax Number : 317-715-6200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2014
Last Update Date : 11/16/2023

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Directions to “ DR. SANDEEP RAMESH BHAVE M.D.” Practice Location

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