Provider Demographics
NPI:1326201443
Name:BHAVSAR, HITESHRI SURESH (MD)
Entity type:Individual
Prefix:
First Name:HITESHRI
Middle Name:SURESH
Last Name:BHAVSAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1215 7TH ST SE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-3337
Mailing Address - Country:US
Mailing Address - Phone:256-351-5400
Mailing Address - Fax:256-351-5403
Practice Address - Street 1:1215 7TH ST SE
Practice Address - Street 2:SUITE 140
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3337
Practice Address - Country:US
Practice Address - Phone:256-351-5400
Practice Address - Fax:256-351-5403
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALMD.31220207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine