MEDICARE: DR. TEJ BIPIN BHAVSAR 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	207RR0500X	Rheumatology Physician	288875	NY
2	207RR0500X	Rheumatology Physician	97540	GA

General Provider Information

NPI Number	:	1689725301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TEJ BIPIN BHAVSAR MD

Provider Business Mailing Address
First Line	:	3970 DEPUTY BILL CANTRELL MEM # 203
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30040-3069
Country	:	US
Telephone Number	:	770-887-5159
Fax Number	:	770-887-9496

Provider Business Practice Location Address
First Line	:	3970 DEPUTY BILL CANTRELL MEM # 203
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30040-3069
Country	:	US
Telephone Number	:	770-887-5159
Fax Number	:	770-887-9496

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	05/22/2024

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