Individual
DR. RADHESHYAM BHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 EXECUTIVE PARK NE, ATLANTA, GA 30329
(404) 712-7533
Mailing address
10201 SE MAIN ST, STE 29, PORTLAND, OR 97216-2937
(503) 261-4475
(503) 261-4476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD446566
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD184150
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0308544
—
NJ
05
—
102762326
—
PA
Enumeration date
07/13/2009
Last updated
08/02/2017
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