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NPI Code Detail

MEDICARE: KRIMISH BHAGAT PA

MEDICARE: KRIMISH BHAGAT PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1760001770
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRIMISH BHAGAT PA
Provider Business Mailing Address
First Line : 159 N BROADWAY
Second Line :
City : SALEM
State : NH
Zip : 03079-2136
Country : US
Telephone Number : 603-893-4119
Fax Number :
Provider Business Practice Location Address
First Line : 159 N BROADWAY
Second Line :
City : SALEM
State : NH
Zip : 03079-2136
Country : US
Telephone Number : 603-893-4119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2020
Last Update Date : 04/08/2021

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Directions to “ KRIMISH BHAGAT PA” Practice Location

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