Provider Demographics
NPI:1750329322
Name:PALEKAR, BHASKAR S (MD)
Entity Type:Individual
Prefix:DR
First Name:BHASKAR
Middle Name:S
Last Name:PALEKAR
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 1:1526 SAVANNAH RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1683
Mailing Address - Country:US
Mailing Address - Phone:302-645-1805
Mailing Address - Fax:302-645-5895
Practice Address - Street 1:1526 SAVANNAH RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1683
Practice Address - Country:US
Practice Address - Phone:302-645-1805
Practice Address - Fax:302-645-5895
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1001519207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000195001Medicaid
DE110035209OtherRAILROAD MEDICARE INDIV
DE0000195001Medicaid
DE000H16B65Medicare PIN