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
Fax: (866) 376-2481
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760453427 NPPES
Florida MEDICAID 273804000
Florida Other 103846

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