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NPI Code Detail

MEDICARE: DR. DHANANJAY A BHAGOGI M.D.

MEDICARE: DR. DHANANJAY A BHAGOGI 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
1207R00000XInternal Medicine Physician155451NY

General Provider Information

NPI Number : 1457431546
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DHANANJAY A BHAGOGI M.D.
Provider Business Mailing Address
First Line : 2 SPRING RD
Second Line :
City : YONKERS
State : NY
Zip : 10705-1630
Country : US
Telephone Number : 718-221-7685
Fax Number :
Provider Business Practice Location Address
First Line : 681 CLARKSON AVE
Second Line : BUILDING 2
City : BROOKLYN
State : NY
Zip : 11203-2125
Country : US
Telephone Number : 718-221-7865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 07/08/2007

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