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1922268176

NPI Code Detail

MEDICARE: DR. NISHITA BHUMKAR MD

MEDICARE: DR. NISHITA BHUMKAR 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	207R00000X	Internal Medicine Physician	125988	OR
2	207R00000X	Internal Medicine Physician	MD60940610	WA

Other Identifiers

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

General Provider Information

NPI Number	:	1922268176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NISHITA BHUMKAR MD

Provider Business Mailing Address
First Line	:	PO BOX 73488
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98373-0488
Country	:	US
Telephone Number	:	855-722-9700
Fax Number	:	206-568-7043

Provider Business Practice Location Address
First Line	:	2219 RIMLAND DR STE 301
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-8759
Country	:	US
Telephone Number	:	855-722-9700
Fax Number	:	425-391-5701

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

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	12/09/2022

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Directions to “ DR. NISHITA BHUMKAR MD” Practice Location

Language	Start Address	Practice Location

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