Bhavsar, Madhumalti D.

Bhavsar, Madhumalti D. is an individual health care provider with primary practice located at 8710 Monroe Ct Ste 150 , Rancho Cucamonga CA 91730-4885. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Bhavsar, Madhumalti D. can be contacted via phone (909) 941-4870.

Contact Information

Primary practice address
8710 Monroe Ct Ste 150 Rancho Cucamonga CA 91730-4885
Phone: (909) 941-4870
Fax: (909) 941-4875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 4301068193 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C146376 California

Profile Details

NPI number 1013958867
LBN Legal business name Bhavsar, Madhumalti D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Mar 23rd, 2018 - about 6 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 1013958867 NPPES
Michigan Other 2607900572 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 10-4962501 BLUE CROSS BLUE SHIELD
Michigan Other 260049251 BLUE CROSS BLUE SHIELD

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