Individual
DR. ISHAN BHATTACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3590 W 9000 S STE 120, WEST JORDAN, UT 84088-8858
(801) 208-1075
(385) 351-6735
Mailing address
1911 COBBLESTONE LN APT 119, MILAN, IL 61264-2614
(443) 465-2403
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036068763
IL
207RG0100X
Gastroenterology Physician
14199050-1235
UT
207RG0100X
Gastroenterology Physician
MD-48413
IA
Other
Enumeration date
11/16/2006
Last updated
01/12/2026
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