Individual
KIRAN K BHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 GREENE AVE, BROOKLYN, NY 11238-1026
(917) 400-9426
(718) 250-6489
Mailing address
297 ADELPHI ST, BROOKLYN, NY 11205-4602
(917) 385-3960
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
179103
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01845261
—
NY
Enumeration date
05/26/2006
Last updated
08/18/2022
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