# JAYSHREE S BHATT MD PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JAYSHREE S BHATT MD PC
- **Other names:** Jayshree S Bhatt MD PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396942124
- **Legal business name:** JAYSHREE S BHATT MD PC
- **Authorized official:** DR. JAYSHREE S BHATT M.D. (PHYSICIAN)
- **Authorized official phone:** (219) 836-0445

## Contact information

- **Practice address:** 9124 COLUMBIA AVE, SUITE B, MUNSTER, IN 46321-2907
- **Practice address phone:** (219) 836-0445
- **Practice address fax:** (219) 836-0463
- **Mailing address:** 9124 COLUMBIA AVE STE B, MUNSTER, IN 46321-2907
- **Mailing address phone:** (219) 836-0445
- **Mailing address fax:** (219) 836-0463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01033072 | IN | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 07/18/2008