MEDICARE: DR. INDER BHANVER MD

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
1	2084P0800X	Psychiatry Physician	A76645	CA
2	2084P0800X	Psychiatry Physician	10061	NV

General Provider Information

NPI Number	:	1386696573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. INDER BHANVER MD

Provider Business Mailing Address
First Line	:	5365 MAE ANNE AVE
Second Line	:	STE A35
City	:	RENO
State	:	NV
Zip	:	89523-1891
Country	:	US
Telephone Number	:	775-762-3828
Fax Number	:	775-747-5566

Provider Business Practice Location Address
First Line	:	5365 MAE ANNE AVE
Second Line	:	SUITE A 35
City	:	RENO
State	:	NV
Zip	:	89523-1840
Country	:	US
Telephone Number	:	775-787-6463
Fax Number	:	775-787-6466

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	08/01/2016

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Directions to “ DR. INDER BHANVER MD” Practice Location

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