Provider Demographics
NPI:1508164021
Name:BHAVSAR, TAPAN MAHENDRA (MD, PHD)
Entity Type:Individual
Prefix:
First Name:TAPAN
Middle Name:MAHENDRA
Last Name:BHAVSAR
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2131 K ST NW
Mailing Address - Street 2:SUITE 450-CREDENTIALING
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037
Mailing Address - Country:US
Mailing Address - Phone:202-715-4479
Mailing Address - Fax:202-715-4477
Practice Address - Street 1:GWMFA-MEDICAL FACULTY ASSOCIATES, INC
Practice Address - Street 2:2150 PENNSYLVANIA AVE NW FL 10
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3201
Practice Address - Country:US
Practice Address - Phone:202-677-6615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-08
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD047421207ZH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology