Organization
TIM BHAKTA, PA
Active
Other names
Active Chiropractic Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMIR BHAKTA D.C. (PRESIDENT)
(913) 397-6900
Entity
Organization
Contact information
Practice address
401 S CLAIRBORNE RD, STE 202, OLATHE, KS 66062-1735
(913) 397-6900
(913) 397-7999
Mailing address
PO BOX 2875, OLATHE, KS 66063-0875
(913) 397-6900
(913) 397-7999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104981
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36022028
BLUE CROSS BLUE SHIELD KANSAS CITY
KS
Enumeration date
06/19/2006
Last updated
08/17/2009
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