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Contact Information

BHASKAR DEVANAGONDI, MD
2110 16TH ST 1
BAY PEDIATRIC CLINIC
BAY CITY, MI48708
 Phone: 989-892-2517
 Fax: 989-892-4860
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for BHASKAR DEVANAGONDI · (Male)

NPI # 1386704419
Status Active
Credentials MD
Entity Individual
Enumeration date 12/11/2006
Last updated 08/23/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MI License # BD049357
  • MI Medicaid 1821116
  • MI Other 350Z96028 BLUE CROSS
  • MI Other 3500941021 HEALTH PLUS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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