Individual
LEAH S BHATKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4054
(682) 885-7497
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
N2948
TX
207LP3000X
Pediatric Anesthesiology Physician
Primary
N2948
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204088303
—
TX
01
—
204088304
CSHCN
TX
Enumeration date
05/21/2007
Last updated
04/02/2012
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