Individual
ABDUL L. BHATTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACC
Contact information
Practice address
524 ZEAGLER DR, PALATKA, FL 32177-3813
(386) 328-5811
(386) 328-9813
Mailing address
524 ZEAGLER DR, PALATKA, FL 32177-3813
(386) 328-5811
(386) 328-9813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 23062
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME23062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056789200
—
FL
01
—
54039
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
07/07/2005
Last updated
06/03/2014
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