Individual
DR. PRAKSHEP B BHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 S OAK AVE STE 2, SAN LUIS, AZ 85336-0756
(928) 662-0414
(928) 722-6113
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
(928) 722-6113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49397
AZ
207R00000X
Internal Medicine Physician
54778-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
956888
—
AZ
Enumeration date
05/01/2008
Last updated
08/13/2024
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