MEDICARE: DR. RAJESH C BHAGAT 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
1	2086S0105X	Surgery of the Hand (Surgery) Physician	4301032966	MI

General Provider Information

NPI Number	:	1568476703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJESH C BHAGAT MD

Provider Business Mailing Address
First Line	:	19181 15 MILE RD
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48035-2508
Country	:	US
Telephone Number	:	586-790-1700
Fax Number	:	586-790-1701

Provider Business Practice Location Address
First Line	:	19181 15 MILE RD
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48035-2508
Country	:	US
Telephone Number	:	586-790-1700
Fax Number	:	586-790-1701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/08/2007

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