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Divyaraj Bavishi
Student in an Organized Health Care Education/Training Program in Lubbock, Texas
NPI 1770274193

Divyaraj Bavishi is a Student in an Organized Health Care Education/Training Program based in Lubbock, TX. Divyaraj Bavishi practices in Lubbock, TX. The NPI Number for Divyaraj Bavishi is 1770274193 and holds a License No. BP10083765 (Texas).

The current practice location address for Divyaraj Bavishi is 3601 4Th St Stop 8103, Lubbock, TX and can be reached out via phone at 806-743-6162.

Location: 3601 4Th St Stop 8103, Lubbock, TX, 79430-8103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770274193
Provider Name
Divyaraj Bavishi
Credential
Provider Entity Type
Individual
Gender
Male
Address
3601 4Th St Stop 8103, Lubbock, TX, 79430-8103
Phone Number
806-743-6162
Fax Number
Provider Enumeration Date
05/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3601 4Th St Stop 8103
City
Lubbock
State
Texas
Zip
79430-8103
Phone Number
806-743-6162
Fax Number
person
Provider Business Mailing Address Details
Address
3601 4Th St Stop 8103
City
Lubbock
State
Texas
Zip
79430-8103
Phone Number
806-743-6162
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10083765 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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