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Individual

ISHRAT ALI BHAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 722-9523
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01079168A
IN
2084P0805X
Geriatric Psychiatry Physician
65219
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003105679A
GA
01
52519834 001
BCBS
GA
05
GA1167
SC
Enumeration date
07/09/2008
Last updated
11/27/2023
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