Individual
MALATHI BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
660 MIDDLESEX ST, LOWELL, MA 01851-1432
(978) 454-9703
(978) 528-2024
Mailing address
660 MIDDLESEX ST, LOWELL, MA 01851-1432
(978) 454-9703
(978) 528-2024
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
43809
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3118991
—
MA
01
—
J14377
MEDICARE PTIN
MA
Enumeration date
10/27/2006
Last updated
11/18/2011
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