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DR. KOMALA N BHUSHAN M.D.

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1457412801

Individual Registrant:
DR. KOMALA N BHUSHAN M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
512 N LECANTO HWY # 491  LECANTO, FL 34461-8547 US
Tel: 352-527-2244  Fax: --

Contact information for business:
556 W BRITAIN ST  HERNANDO, FL 34442-8200 US
Tel: 352-527-2944  Fax: --

Registration Information:
NPI: 1457412801
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
FLME06580

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
270492700FL05
BLUE SHIELD PROVIDER#74732FL01
AMERI GROUP201205FL01
HEALTHEASE & HEALTHYKIDS21644FL01




HEALTH CARE JOBS FL - Page 1



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