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Provider Information for 1821302845



DR. MILAN BHAGAT DMD

Gender: MALE

Individual NPI: 1821302845

Calendar Last Updated: 2016-07-18

Details

Name Value
NPI 1821302845
Enumeration Date 2010-08-02
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 3277 S CRATER RD SUITE B
PETERSBURG, VA 23805-9285
United States

Phone: 804-732-5776 | Fax: 804-732-5872
View Map External Link
Primary Practice Address 3277 S CRATER RD SUITE B
PETERSBURG, VA 23805-9285
United States

Phone: 804-732-5776 | Fax: 804-732-5872
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice VA 0401414059