Individual
DR. REVATHI N BHAT
Active
Individual
DR. REVATHI N BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2008002396
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2008002396
MO
390200000X
Student in an Organized Health Care Education/Training Program
2004017399
MO
Other
Enumeration date
06/28/2006
Last updated
11/01/2011
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