Provider Demographics
NPI:1346660354
Name:BHAVE, SANDEEP RAMESH (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDEEP
Middle Name:RAMESH
Last Name:BHAVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6100 W 96TH ST STE 125
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46278-6006
Mailing Address - Country:US
Mailing Address - Phone:317-715-1803
Mailing Address - Fax:317-715-6200
Practice Address - Street 1:6100 W 96TH ST STE 125
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46278-6006
Practice Address - Country:US
Practice Address - Phone:317-715-1803
Practice Address - Fax:317-715-6200
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
IN01082084A2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program