Healthcare Provider Details

I. General information

NPI: 1447385786
Provider Name (Legal Business Name): BHARATI KAMDAR, M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7345 FAR HILLS AVE
CENTERVILLE FINANCE OH
45459-4415
US

IV. Provider business mailing address

7345 FAR HILLS AVE
CENTERVILLE FINANCE OH
45459-4415
US

V. Phone/Fax

Practice location:
  • Phone: 937-433-4877
  • Fax:
Mailing address:
  • Phone: 937-433-4877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BHARATI A KAMDAR
Title or Position: OWNER
Credential: M.D.
Phone: 937-433-4877