MEDICARE: BHARAT BHUSHAN MAHADEO RPH

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	183500000X	Pharmacist	049186	NY

General Provider Information

NPI Number	:	1548553720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHARAT BHUSHAN MAHADEO RPH

Provider Business Mailing Address
First Line	:	10311 LEFFERTS BLVD
Second Line	:
City	:	SOUTH RICHMOND HILL
State	:	NY
Zip	:	11419-2011
Country	:	US
Telephone Number	:	718-805-2115
Fax Number	:

Provider Business Practice Location Address
First Line	:	27103 80TH AVE
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-1610
Country	:	US
Telephone Number	:	718-470-1000
Fax Number	:

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

Provider Enumeration Date	:	05/23/2011
Last Update Date	:	05/23/2011

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Directions to “ BHARAT BHUSHAN MAHADEO RPH” Practice Location

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