Organization
JAYSHREE S BHATT MD PC
Active
Parent organization
JAYSHREE S BHATT MD PC
Other names
Jayshree S Bhatt MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAYSHREE S BHATT MD PC
Authorized official
DR. JAYSHREE S BHATT M.D. (PHYSICIAN)
(219) 836-0445
Entity
Organization
Contact information
Practice address
9124 COLUMBIA AVE, SUITE B, MUNSTER, IN 46321-2907
(219) 836-0445
(219) 836-0463
Mailing address
9124 COLUMBIA AVE STE B, MUNSTER, IN 46321-2907
(219) 836-0445
(219) 836-0463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01033072
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080185321
RAILROAD MEDICARE
IN
01
—
1831106186
INDIVIDUAL NPI
IN
Enumeration date
06/27/2007
Last updated
07/18/2008
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