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Individual
MAMATHA P BHAT
Active
Individual
MAMATHA P BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
106324
MN
207RG0100X
Gastroenterology Physician
Primary
55557
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01176234
RAILROAD MEDICARE
MN
Enumeration date
07/23/2012
Last updated
07/11/2013
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