Provider Demographics
NPI:1609005693
Name:BHIMANI, VIKAS VINODRAY (MD)
Entity Type:Individual
Prefix:DR
First Name:VIKAS
Middle Name:VINODRAY
Last Name:BHIMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:335 HAGGERTY HWY # 1050
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48390-3919
Mailing Address - Country:US
Mailing Address - Phone:248-946-6597
Mailing Address - Fax:808-731-8531
Practice Address - Street 1:26850 PROVIDENCE PKWY STE 460
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-1265
Practice Address - Country:US
Practice Address - Phone:248-938-0039
Practice Address - Fax:808-731-8531
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-10
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301501525207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine