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General NPI Number Information
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NPI Number | 1134334394
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Entity Type | Organization
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Legal Business Name | RAJESH BHAGAT MD PC
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4020 S VERNOY
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City | WAYNE
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State | MI
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Zip | 48184
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Country | US
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Telephone | 734-722-6110
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Fax | 734-729-6788
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Provider Business Mailing Address
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Address Line | 4020 S VERNOY
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City | WAYNE
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State | MI
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Zip | 48184
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Country | US
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Telephone | 734-722-6110
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Fax | 734-729-6788
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAJESH BHAGAT
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Credential | MD
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Telephone | 734-722-6110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | RB032966
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License Number State | MI
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