Individual
DIVYESH R BHAKTA
Active
Individual
DIVYESH R BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
31873
KY
207RI0011X
Interventional Cardiology Physician
Primary
31873
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000290262
ANTHEM PIN
KY
01
—
000000693029
ANTHEM - NCVA
KY
01
—
000057058Y
HUMANA - NCVA
KY
05
—
200423300A
—
IN
05
—
200423300F
—
IN
01
—
2442264000
PASSPORT ADVANTAGE
KY
01
—
50000584
PASSPORT PIN
KY
05
—
64036544
—
KY
01
—
P00893023
RAILROAD MEDICARE - NCVA
KY
Enumeration date
06/25/2006
Last updated
01/12/2021
Update your record
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