Individual
DR. MOHAMMAD AZEEM BHATTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA08256000
NJ
208800000X
Urology Physician
MD070689-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018084190001
—
PA
01
—
039846
PTAN
—
01
—
1699088120
NPI
—
01
—
340020011
RR MEDICARE
PA
01
—
CC9269
RR MEDICARE GROUP
PA
Enumeration date
02/09/2006
Last updated
10/07/2016
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