Individual
ISHFAQ H. BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4015
(402) 559-9416
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4015
(402) 559-9416
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-116493
IL
207RG0100X
Gastroenterology Physician
Primary
25185
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-116493
IL STATE LIC
IL
Enumeration date
04/16/2007
Last updated
06/03/2014
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