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Individual

NIKHIL Y BHATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1006 NEW MOODY LANE, LA GRANGE, KY 40031
(502) 222-0028
Mailing address
1006 NEW MOODY LN, LA GRANGE, KY 40031-9122
(502) 222-0028

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D07603600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000501663
ANTHEM
KY
05
31001092
KY
01
841649267
COMMERCIAL
KY
01
P00418514
RR MEDICARE
KY
Enumeration date
05/23/2006
Last updated
06/29/2012
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