Provider Demographics
NPI:1932773793
Name:VACHHANI, BHAVYAKUMAR HARESHKUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:BHAVYAKUMAR
Middle Name:HARESHKUMAR
Last Name:VACHHANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BHAVYA
Other - Middle Name:HARESH
Other - Last Name:VACHHANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:121 DEKALB AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5425
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:121 DEKALB AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5425
Practice Address - Country:US
Practice Address - Phone:718-250-6946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program