Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 045626 | CT |
N | 111NI0900X | Internist | 045626 | CT |
N | 207RC0200X | Critical Care Medicine | 045626 | CT |
NPI | 1063607109 |
---|---|
Provider Name | Dr. Devina Bhasin |
First Address | Atlanta, GA 30309-1281 |
Second Address | Atlanta, GA 30309-1281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2007 |
Last Update Date | 06/02/2014 |