Female

Mrs. Vimla P. Bhagwandin M.D.

Pediatrics Physician in Mobile, AL(View on Map)

Full Name

Mrs. Vimla Praveni Bhagwandin M.D.

NPI Number

1467632521

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/06/2007

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

28261

Contact
Information

Purpose

Mailing
Location

Address

6908 PROVIDENCE PARK DR S
6908 PROVIDENCE PARK DR S

City

Mobile
Mobile

State

AL
AL

Postal Code

36695-4600
36695-4600

Country

US
US

Telephone Number

(251) 660-3490
(251) 660-3490

Identifiers

Identifier

515-45281
631500075
510I37000

Identifier State

Unknown
AL
AL

Identifier Issuer

BLUE CROSS AND BLUE SHIELD OF ALABAMA
Unknown
MEDICARE PECOS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/06/2018

Provider Address

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