Individual
DR. KRISHNA BHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
24465
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084P0800X
—
WI
01
—
24465
LICENSE
WI
01
—
P00736811
RR MEDICARE
WI
Enumeration date
05/28/2006
Last updated
07/09/2012
Update your record
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