Individual
DR. SUBRAHMANYA BHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 N PARK TRL, STOCKBRIDGE, GA 30281-7373
(770) 389-1703
(770) 389-9109
Mailing address
145 N PARK TRL, STOCKBRIDGE, GA 30281-7373
(770) 389-1703
(770) 389-9109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30576
GA
207RP1001X
Pulmonary Disease Physician
Primary
30576
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00409549E
—
GA
01
—
0402771
UNITED HEALTHCARE
GA
01
—
4460389
AETNA
GA
01
—
582368657001
CIGNA
GA
01
—
76802
CIGNA
GA
01
—
983300
BC/BS OF GA
GA
Enumeration date
10/04/2006
Last updated
03/19/2026
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