Sanyogeeta Mukund Bhaway, M.D.
Internal Medicine in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1275828162
StatusActive
Last updated in NPPESOct 15, 2021
Details
- NPI
- 1275828162
- Entity type
- Individual (NPI-1)
- Name
- Sanyogeeta Mukund Bhaway
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2011
- Certification date
- Oct 15, 2021
- Last updated
- Oct 15, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A126974 | CA | Yes |
| 207R00000X | Internal Medicine | MT199514 | PA |
Practice location
1165 Montgomery DrSanta Rosa, CA 95405-4801
Phone 707-303-8307
Mailing address
1165 Montgomery DrSanta Rosa, CA 95405-4801
Phone 707-303-8307
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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