Puskur, Bhavani
Puskur, Bhavani is an individual health care provider with primary practice located at 2328 Citadel Way Ste 103-319 , Melbourne FL 32940-6459. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Puskur, Bhavani can be contacted via phone (321) 757-1900.Contact Information
Primary practice address
2328 Citadel Way Ste 103-319
Melbourne FL 32940-6459
Phone: (321) 757-1900
Fax: (866) 376-2481
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME93837 | Florida |
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ME93837 | Florida |
Profile Details
NPI number | 1760453427 |
---|---|
LBN Legal business name | Puskur, Bhavani |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 31st, 2006 |
Last updated | Sep 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760453427 | NPPES |
Florida | MEDICAID | 273804000 | |
Florida | Other | 103846 |
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