| Doctor Name: | PRATIBHA BHAWAN |
| NPI Number: | 1497898894 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 39967 |
| Business Practice Address: | Quigley Mem Hosp, Soldiers Home 91 Crest Avenue Chelsea, MA - 02150 |
| Business Phone Number: | 6178845660 |
| Business Fax Number: | |
| Mailing Address: | 1 Avery St, Unit-31 A BOSTON |
| State: | MA |
| Postal Code: | 021111022 |
| Phone Number: | 6178845660 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 39967 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |