Provider Demographics
NPI:1396776951
Name:BHAVSAR, ABDHISH RAMAN (MD)
Entity type:Individual
Prefix:DR
First Name:ABDHISH
Middle Name:RAMAN
Last Name:BHAVSAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:710 E 24TH ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-3846
Mailing Address - Country:US
Mailing Address - Phone:612-871-2292
Mailing Address - Fax:952-460-5274
Practice Address - Street 1:710 E 24TH ST STE 304
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-3846
Practice Address - Country:US
Practice Address - Phone:612-871-2292
Practice Address - Fax:952-460-5274
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036096763207WX0107X
CAG81049207WX0107X
MN39922207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNG25794Medicare UPIN
MN180000685Medicare PIN