Provider Demographics
NPI:1801691605
Name:BHAYANI, DIVISHA P
Entity type:Individual
Prefix:
First Name:DIVISHA
Middle Name:P
Last Name:BHAYANI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 COURT HOUSE PL
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-1701
Mailing Address - Country:US
Mailing Address - Phone:917-609-9358
Mailing Address - Fax:
Practice Address - Street 1:51 COURT HOUSE PL
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-1701
Practice Address - Country:US
Practice Address - Phone:917-609-9358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program