Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 37846 | MA |
NPI | 1073511994 |
---|---|
Provider Name | Gulam H Bhimani |
First Address | Worcester, MA 01608-1604 |
Second Address | Attleboro, MA 02703-3142 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 18/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2061112 | (05) | MA |
A59482 | (02) |