Individual
AVNISH BHATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 CHESTNUT ST, SUITE 1321, PHILADELPHIA, PA 19107-4316
(215) 923-5676
Mailing address
1015 CHESTNUT ST, SUITE 1321, PHILADELPHIA, PA 19107-4316
(215) 923-5676
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
235182
NY
207RH0003X
Hematology & Oncology Physician
Primary
MD433959
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061424000
KEYSTONE/PC
PA
05
—
0196657
—
NJ
05
—
102279470
—
PA
Enumeration date
05/11/2007
Last updated
03/06/2012
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