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Individual

ETASHA MUKESH BHATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2700 VIKINGS CIR, EAGAN, MN 55121-1002
(952) 456-7600
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
(952) 512-5651

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
72979
MN
207X00000X
Orthopaedic Surgery Physician
MD61133646
WA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
72979
MN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD61133646
WA

Other

Enumeration date
05/13/2015
Last updated
04/09/2026
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