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NPI Code Detail

MEDICARE: DR. ANANT B BHOGAONKER MD

MEDICARE:  DR. ANANT B BHOGAONKER  MD
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
1208000000XPediatrics Physician4301031977MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457333718
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANANT B BHOGAONKER MD
Provider Business Mailing Address
First Line : 22255 GREENFIELD RD
Second Line : STE 320
City : SOUTHFIELD
State : MI
Zip : 48075-3710
Country : US
Telephone Number : 248-559-7958
Fax Number : 248-559-9080
Provider Business Practice Location Address
First Line : 22255 GREENFIELD RD
Second Line : STE 320
City : SOUTHFIELD
State : MI
Zip : 48075-3710
Country : US
Telephone Number : 248-559-7958
Fax Number : 248-559-9080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ANANT B BHOGAONKER MD” Practice Location

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