Individual
MR. SHIV S BHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1617 NORTH JAMES STREET, SUITE 900, ROME, NY 13479
(315) 336-7499
(315) 336-3831
Mailing address
PO BOX 181, WASHINGTON MILLS, NY 13479
(315) 336-7499
(315) 336-3831
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
146859
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01418560
—
NY
01
—
711953
MVP
NY
Enumeration date
08/21/2006
Last updated
07/08/2007
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