Provider Demographics
NPI:1588985063
Name:BHIMANI, VIPUL (MD)
Entity type:Individual
Prefix:
First Name:VIPUL
Middle Name:
Last Name:BHIMANI
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 1:2173 CENTERVILLE PL
Mailing Address - Street 2:# A
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-8302
Mailing Address - Country:US
Mailing Address - Phone:850-385-0144
Mailing Address - Fax:
Practice Address - Street 1:2173 CENTERVILLE PL
Practice Address - Street 2:# A
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-8302
Practice Address - Country:US
Practice Address - Phone:316-268-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME120292207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology