Provider Demographics
NPI:1518377621
Name:BHAGALPUR INTERNAL MEDICINE PLLC
Entity Type:Organization
Organization Name:BHAGALPUR INTERNAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BIJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANJEEV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-296-1206
Mailing Address - Street 1:11028 E DEER TANK PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85749-8021
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11028 E DEER TANK PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85749-8021
Practice Address - Country:US
Practice Address - Phone:520-296-1206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty