Provider Demographics
NPI:1427007772
Name:DIXIT, BHARGAB (MD)
Entity Type:Individual
Prefix:DR
First Name:BHARGAB
Middle Name:
Last Name:DIXIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:
Practice Address - Street 1:3999 DUTCHMANS LN
Practice Address - Street 2:SUITE 7B
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4729
Practice Address - Country:US
Practice Address - Phone:502-896-4711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37021207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000735019OtherANTHEM- NORTON SURG. SPEC.
KY3489620OtherCIGNA- NORTON SURG. SPEC.
KY64051121Medicaid
KYK076830OtherMEDICARE- NORTON SURGICAL SPECIALISTS
KYC23061OtherCHI
IN201140680Medicaid
IN201140680Medicaid
KY00259002Medicare UPIN
KYC23061OtherCHI