Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | LL16155 | OR |
N | 111NI0900X | Internist | LL16155 | OR |
Y | 207RG0100X | Gastroenterologist | P4849 | TX |
NPI | 1033318357 |
---|---|
Provider Name | Dr. Falguny I Bhavan |
First Address | Salem, OR 97301 |
Second Address | Salem, OR 97301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2007 |
Last Update Date | 14/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
313945301 | (05) | TX |
752616977008 | TRICARE (01) | TX |
8DN570 | BCBS (01) | TX |