Individual
ASHISH MAHESHKUMAR BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
13 ALDERBROOK LN, JACKSON, TN 38305-1882
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
53386
TN
207Q00000X
Family Medicine Physician
Primary
53386
TN
Other
Enumeration date
04/11/2012
Last updated
03/10/2016
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