Bhavsar, Mary

Bhavsar, Mary is an individual health care provider with primary practice located at 10961 Club West Pkwy Suite 130, Blaine MN 55449-5866. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Bhavsar, Mary can be contacted via phone (763) 571-7550.

Contact Information

Primary practice address
10961 Club West Pkwy Suite 130 Blaine MN 55449-5866
Phone: (763) 571-7550
Fax: (763) 253-4142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 40243 Minnesota

Profile Details

NPI number 1447205810
LBN Legal business name Bhavsar, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Nov 25th, 2013 - about 12 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 1447205810 NPPES
Minnesota MEDICAID 939972100

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