Provider Demographics
NPI:1023034295
Name:JAPI, BHAVANA R (MD)
Entity Type:Individual
Prefix:
First Name:BHAVANA
Middle Name:R
Last Name:JAPI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4 DALLAS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-3913
Mailing Address - Country:US
Mailing Address - Phone:516-437-5356
Mailing Address - Fax:
Practice Address - Street 1:3440 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-1716
Practice Address - Country:US
Practice Address - Phone:718-235-0222
Practice Address - Fax:718-235-1811
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2011-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY219891207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH44244Medicare UPIN