Active NPI
Surjeet K Bhangoo, MD
- Psychiatry Physician
- Richmond, IN
National Provider Identifier
1508969858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01028836A
- Practice address
- Richmond State Hospital ,18 NW Street
Richmond, IN 47374 - Phone
- (765) 966-0511
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01028836A | IN | Primary |
Addresses
Primary practice location
Richmond State Hospital ,18 NW Street
Richmond, IN 47374
Mailing address
3516 Straightline Pike
Richmond, IN 47374-7286
Phone (765) 962-7434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01028836A | IN | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508969858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3516 STRAIGHTLINE PIKE",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473747286",
"telephone_number": "765-962-7434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RICHMOND STATE HOSPITAL ,18 NW STREET",
"city": "RICHMOND",
"state": "IN",
"postal_code": "47374",
"telephone_number": "765-966-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHANGOO",
"first_name": "SURJEET",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01028836A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.