Bhaskar Devanagondi, M.D.

Pediatrics Physician · Bay, MI

Individual Active NPI

NPI number 1386704419

Practice location

2110 16TH St 1
Bay Pediatric Clinic
Bay, MI 48708
Phone
(989) 892-2517
Fax
(989) 892-4860

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NPI record

NPI
1386704419
Entity type
Individual (Type 1)
Enumeration date
December 11, 2006
Last updated
August 23, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X BD049357 MI
Specialist 174400000X BD049357 MI

About Dr. Devanagondi

Bhaskar Devanagondi, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2110 16TH St 1, Bay Pediatric Clinic, Bay, MI 48708. The NPI number 1386704419 was assigned on December 11, 2006 and the record was last updated on August 23, 2011.

Dr. Devanagondi lists 2 licenses in the registry: #BD049357 (MI) for Pediatrics Physician; #BD049357 (MI) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bhaskar Devanagondi, M.D.?

The NPI number is 1386704419.

What is the phone number of Dr. Devanagondi?

The phone number listed for the practice location is (989) 892-2517.

Where is Dr. Devanagondi located?

2110 16TH St 1, Bay Pediatric Clinic, Bay, MI 48708.

What is the taxonomy code for Dr. Devanagondi?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.