Brahmbhatt, Mira Raju

Brahmbhatt, Mira Raju is an individual health care provider with primary practice located at 1129 Bloomfield Ave , West Caldwell NJ 07006-7127. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Brahmbhatt, Mira Raju can be contacted via phone (973) 500-2686.

Contact Information

Primary practice address
1129 Bloomfield Ave West Caldwell NJ 07006-7127
Phone: (973) 500-2686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MP00524400 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PATEMP Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA14849 Texas

Profile Details

NPI number 1891348165
LBN Legal business name Brahmbhatt, Mira Raju
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2019
Last updated Oct 28th, 2021 - about 3 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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