DR. MINNI BHAGAVAN MD NPI 1265410484

NPI Information

NPI: 1265410484
Provider Name: DR. MINNI BHAGAVAN, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

Address:
3959 BROADWAY
NEW YORK, NY
ZIP 10032
Phone: (212) 304-7250
Get Directions

DR. Minni Bhagavan, MD is a pediatric emergency medicine pediatrics in New York, NY. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Minni Bhagavan, MD NPI is 1265410484. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3959 BROADWAY
NEW YORK, NY
ZIP 10032-559
Phone: (212) 304-7250

The enumeration date for this NPI number is 1/6/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	188877	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	F91077	MEDICARE UPIN	NEW YORK
2	01538903	MEDICAID	NEW YORK
3	57J131	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK

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

NPI Synchronization or Removal

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