Individual
DR. BIPIN K GHATALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 W LEE ST, WEATHERFORD, TX 76086
(817) 594-9922
(817) 594-9923
Mailing address
103 W LEE ST, WEATHERFORD, TX 76086
(817) 594-9922
(817) 594-9923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D9798
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092597601
—
TX
01
—
10029715
AMERIGRP
TX
Enumeration date
11/16/2005
Last updated
12/10/2009
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