Basic Information
| Provider Information | |||||||||
| NPI: | 1821589508 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINGH | ||||||||
| FirstName: | BHAVNA | ||||||||
| MiddleName: | P | ||||||||
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| Mailing Information | |||||||||
| Address1: | G902 ADARSH RHYTHM APARTMENTS, PANDURANGANAGAR | ||||||||
| Address2: | OFF BANNERGHATTA ROAD | ||||||||
| City: | BANGALORE | ||||||||
| State: | KARNATAKA | ||||||||
| PostalCode: | 560076 | ||||||||
| CountryCode: | IN | ||||||||
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| Practice Location | |||||||||
| Address1: | 1611 NW 12TH AVENUE | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055851191 | ||||||||
| FaxNumber: | 3055456195 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/29/2018 | ||||||||
| LastUpdateDate: | 05/29/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.