Dave, Jayesh Bhalushanker

Dave, Jayesh Bhalushanker is an individual health care provider with primary practice located at 1201 Walter Reed Rd , Fayetteville NC 28304-4437. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Dave, Jayesh Bhalushanker can be contacted via phone (910) 323-4733.

Contact Information

Primary practice address
1201 Walter Reed Rd Fayetteville NC 28304-4437
Fax: (910) 323-2097
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 27672 North Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 27672 North Carolina

Profile Details

NPI number 1750451852
LBN Legal business name Dave, Jayesh Bhalushanker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1750451852 NPPES
North Carolina Other 0430024 UNITED HEALTHCARE
North Carolina Other 27150 UNITED HEALTHCARE
North Carolina MEDICAID 8927150 UNITED HEALTHCARE

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