Provider Demographics
NPI:1063607109
Name:BHASIN, DEVINA (MD)
Entity type:Individual
Prefix:DR
First Name:DEVINA
Middle Name:
Last Name:BHASIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1968 PEACHTREE RD NW
Mailing Address - Street 2:77 BUILDING 5TH FLOOR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1281
Mailing Address - Country:US
Mailing Address - Phone:404-605-2905
Mailing Address - Fax:678-244-6608
Practice Address - Street 1:1968 PEACHTREE RD NW
Practice Address - Street 2:77 BUILDING 5TH FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1281
Practice Address - Country:US
Practice Address - Phone:404-605-2905
Practice Address - Fax:678-244-6608
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2014-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT045626207R00000X, 208M00000X, 207RC0200X
GA68366207RT0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RT0003XAllopathic & Osteopathic PhysiciansInternal MedicineTransplant Hepatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine