Provider Demographics
NPI:1336464841
Name:BARAD, BHAVESH B (MD)
Entity Type:Individual
Prefix:DR
First Name:BHAVESH
Middle Name:B
Last Name:BARAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:308 W HIGHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452-4716
Mailing Address - Country:US
Mailing Address - Phone:352-726-8353
Mailing Address - Fax:352-341-6885
Practice Address - Street 1:540 N LECANTO HWY
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-8547
Practice Address - Country:US
Practice Address - Phone:352-423-1013
Practice Address - Fax:352-513-3043
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME141284207RC0000X
LA303785207RC0000X
TN50442208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1533227Medicaid
TN10311I7965Medicare PIN
TN103I110559Medicare PIN