Individual
SAMEER BHATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 SOUTH ST, LAFAYETTE, IN 47904-3027
(765) 446-4719
(765) 446-4859
Mailing address
2400 SOUTH ST, LAFAYETTE, IN 47904-3027
(765) 446-4719
(765) 446-4859
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01061400A
IN
2085R0204X
Vascular & Interventional Radiology Physician
01061400A
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
52467
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000523950
ANTHEM
IN
05
—
200456580
—
IN
05
—
200813670
—
IN
01
—
P00414276
MEDICARE RAILROAD
IN
Enumeration date
05/22/2006
Last updated
09/27/2021
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