Individual
DR. NISHANT BHATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4510 MEDICAL CENTER DR STE 202, MCKINNEY, TX 75069-1605
(315) 794-0362
Mailing address
505 13TH ST APT B5, AUGUSTA, GA 30901-1009
(315) 794-0362
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
002402
GA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
V1193
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002402
RESIDENCY TRAINING PERMIT
GA
Enumeration date
06/28/2007
Last updated
09/24/2024
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