Doctor Name: | DR. MADHUMALTI D. BHAVSAR |
NPI Number: | 1013958867 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 4301068193 |
Business Practice Address: | 42120 Echo Forest Dr Canton, MI - 481884818 |
Business Phone Number: | 7343985056 |
Business Fax Number: | 7343985056 |
Mailing Address: | 42120 Echo Forest Dr, CANTON |
State: | MI |
Postal Code: | 481884818 |
Phone Number: | 7343985056 |
Fax Number: | 7343985056 |
NPI Enumeration Date: | 06/10/2006 |
NPI Last Update Date: | 07/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 4301068193 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |