Provider Demographics
NPI:1669901658
Name:GNH BHIMASANI INC
Entity type:Organization
Organization Name:GNH BHIMASANI INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:HEMANTH
Authorized Official - Middle Name:K
Authorized Official - Last Name:BHIMASANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-861-3012
Mailing Address - Street 1:321 LOIS LN
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-2561
Mailing Address - Country:US
Mailing Address - Phone:814-861-3012
Mailing Address - Fax:814-689-1742
Practice Address - Street 1:321 LOIS LN
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-2561
Practice Address - Country:US
Practice Address - Phone:814-861-3012
Practice Address - Fax:814-689-1742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2084A0401X
PAMD4240852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD424085OtherMEDICAL LICENSE