Chanakya Bavishi, DO Valid NPI

Individual provider · Neuromusculoskeletal Medicine & OMM Physician · Stratford, NJ

NPI

1356834741

Type

Individual (Type 1)

Primary specialty

Neuromusculoskeletal Medicine & OMM Physician (Neuromusculoskeletal Medicine & OMM)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

204D00000X

License number

25MB11945800 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2018-06-11

Last updated

2026-01-27