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NPI 1417869363

NPI 1417869363 : BHEEMANATHINI MEDICAL SERVICES PLLC : MESA, AZ

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General NPI Number Information
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    NPI Number           |    1417869363
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    Entity Type          |    Organization 
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    Legal Business Name  |    BHEEMANATHINI MEDICAL SERVICES PLLC 
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Dates
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    Enumeration Date     |    09/17/2026
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    Last Update Date     |    09/17/2026
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Provider Practice Location Address
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    Address Line         |    7428 E HANNIBAL ST 
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    City                 |    MESA
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    State                |    AZ
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    Zip                  |    85207-4829
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    Country              |    US
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    Telephone            |    480-447-3840
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    Fax                  |    480-452-1844
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Provider Business Mailing Address
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    Address Line         |    4750 E CLAIRE ST 
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    City                 |    SAN TAN VALLEY
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    State                |    AZ
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    Zip                  |    85140-6207
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    Country              |    US
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    Telephone            |    818-472-1727
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    Fax                  |    480-452-1844
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. PRAVEEN  BHEEMANATHINI 
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    Credential           |    MD
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    Telephone            |    818-472-1727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    NULL
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