Provider Demographics
NPI:1124070693
Name:BHASIN, MOHIT (MD)
Entity type:Individual
Prefix:DR
First Name:MOHIT
Middle Name:
Last Name:BHASIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 SOUTHAMPTON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1008
Mailing Address - Country:US
Mailing Address - Phone:757-201-9571
Mailing Address - Fax:757-663-5662
Practice Address - Street 1:801 SOUTHAMPTON AVE STE A
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1008
Practice Address - Country:US
Practice Address - Phone:757-201-1008
Practice Address - Fax:757-663-5662
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101239817207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC067YCOtherBCBS
VA10009765OtherOPTIMA/SENTARA
VAPAROtherMULTIPLAN
VA1124070693Medicaid
NC5904421Medicaid
VAPAROtherUSA MANAGED CARE
VAPAROtherAETNA (EVMS HEALTH SERVICES)
VA010312060Medicaid
VA10012546OtherSENTARA
VA196345OtherANTHEM BCBS
VAPAROtherCIGNA (EVMS HEALTH SERVICES)
VAPAROtherVIRGINIA PREMIER HEALTH (EVMS HEALTH SERVICES)
3147280OtherUHC/MAMSI
VAPAROtherCORVEL/CORCARE
VA-001OtherTRICARE/CHAMPUS
VA0101239817OtherMEDICAL LICENSE
VA247584OtherANTHEM BC/BS (EVMS HEALTH SERVICES)
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherVIRGINIA HEALTH NETWORK
VA010363C92Medicare PIN
VAPAROtherCIGNA (EVMS HEALTH SERVICES)
VAPAROtherVIRGINIA PREMIER HEALTH (EVMS HEALTH SERVICES)
VA010312060Medicaid
VAP00646530Medicare PIN