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1801877725
SUDHAKAR SHIVARAO BHAGAVATH
BROOKLYN, NY
NPI
1801877725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 136695)
Enumeration Date
2005-11-08
Last Update Date
2007-07-08
Business Address
Dr. SUDHAKAR SHIVARAO BHAGAVATH
1690 PITKIN AVE
BROOKLYN, NY 11212-5605
Phone number: 718-485-8038
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Mailing Address
Dr. SUDHAKAR SHIVARAO BHAGAVATH
15 COLLINGWOOD DR
HUNTINGTON STATION, NY 11746-4736
Phone number: 631-549-0919
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