Provider Demographics
NPI:1104992924
Name:DIXIT, BHUSHIT S (MD)
Entity type:Individual
Prefix:
First Name:BHUSHIT
Middle Name:S
Last Name:DIXIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:B
Other - Middle Name:
Other - Last Name:DIXIT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:700 CENTER STREET
Mailing Address - Street 2:STE 202
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-1573
Mailing Address - Country:US
Mailing Address - Phone:706-327-5066
Mailing Address - Fax:706-327-0081
Practice Address - Street 1:700 CENTER STREET
Practice Address - Street 2:STE 202
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-1573
Practice Address - Country:US
Practice Address - Phone:706-327-5066
Practice Address - Fax:706-327-0081
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0285322084P0800X
AL000170732084P0800X
NJ25MA042978002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA200269975OtherBCBS GA
AL60053257OtherBCBS AL
26BDHQQMedicare ID - Type Unspecified
GA200269975OtherBCBS GA