Individual
SANJAY BHATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7409 TIMBER LAKE TRL APT 104, MADISON, WI 53719-3351
(724) 814-2198
Mailing address
7409 TIMBER LAKE TRL APT 104, MADISON, WI 53719-3351
(724) 814-2198
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD420967
PA
207T00000X
Neurological Surgery Physician
24189
WV
207T00000X
Neurological Surgery Physician
Primary
69315
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3003715000
—
WV
Enumeration date
02/13/2006
Last updated
06/20/2019
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