Individual
MARYANN P BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 291-4424
(937) 291-4428
Mailing address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 291-4424
(937) 291-4428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35060779
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0897276
—
OH
Enumeration date
05/25/2006
Last updated
09/18/2017
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