Individual
MR. BALLAMBATTU R BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 STEWART AVENUE, BETHPAGE, NY 11714-3596
(516) 938-0100
(516) 938-0120
Mailing address
55 WATER STREET 2ND FLOOR, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
120968
NY
207R00000X
Internal Medicine Physician
Primary
120968
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00408613
—
NY
Enumeration date
06/13/2006
Last updated
09/23/2025
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