Bhatoya, Jagdev R

Bhatoya, Jagdev R is an individual health care provider with primary practice located at 620 W Brown St , Waupun WI 53963-1702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Bhatoya, Jagdev R can be contacted via phone (920) 926-8332.

Contact Information

Primary practice address
620 W Brown St Waupun WI 53963-1702
Phone: (920) 926-8332
Fax: (920) 926-8370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 34203 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34203 Wisconsin

Profile Details

NPI number 1811906555
LBN Legal business name Bhatoya, Jagdev R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811906555 NPPES
Wisconsin MEDICAID 11014110
Wisconsin Other 390848401050
Wisconsin Other 1326349135
Wisconsin Other 1851477913
Wisconsin MEDICAID 31964300

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