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DR. ADITYA AVINASH BHAGWAT PH.D. NPI 1649266354


NPI Information

NPI: 1649266354
Provider Name: DR. ADITYA AVINASH BHAGWAT, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4881 SUGAR MAPLE DR
88MDG/SGOHC
WRIGHT PATTERSON AFB, OH
ZIP 45433
Phone: (937) 257-6876
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DR. Aditya Avinash Bhagwat, PH.D. is a clinical neuropsychologist in Wright Patterson Afb, OH. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Aditya Avinash Bhagwat, PH.D. NPI is 1649266354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4881 SUGAR MAPLE DR
88MDG/SGOHC
WRIGHT PATTERSON AFB, OH
ZIP 45433-546
Phone: (937) 257-6876

The NPI 1649266354 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/27/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistPSY1000203DISTRICT OF COLUMBIAYes
2103G00000XClinical Neuropsychologist0810003283VIRGINIAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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