Provider Demographics
NPI:1881279198
Name:BHAGAT, ROHEENI ABHIJEET (BHAMS)
Entity type:Individual
Prefix:
First Name:ROHEENI
Middle Name:ABHIJEET
Last Name:BHAGAT
Suffix:
Gender:F
Credentials:BHAMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3245 DUBLIN BLVD APT 118
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-4402
Mailing Address - Country:US
Mailing Address - Phone:425-435-1870
Mailing Address - Fax:
Practice Address - Street 1:3245 DUBLIN BLVD APT 118
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-4402
Practice Address - Country:US
Practice Address - Phone:425-435-1870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization