Provider Demographics
NPI:1225654270
Name:BHAGAT, YUVRAJ
Entity Type:Individual
Prefix:
First Name:YUVRAJ
Middle Name:
Last Name:BHAGAT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43285 STONINGTON CT
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-1786
Mailing Address - Country:US
Mailing Address - Phone:734-922-2357
Mailing Address - Fax:
Practice Address - Street 1:43285 STONINGTON CT
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-1786
Practice Address - Country:US
Practice Address - Phone:734-922-2357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program