Individual
DR. BHAVESH BHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-8490
Mailing address
607 TIMBERDALE LN, STE 201, HOUSTON, TX 77090-3043
(281) 440-3005
(281) 444-9070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K1978
TX
208M00000X
Hospitalist Physician
Primary
K1978
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045907501
—
TX
01
—
110170113
RR MEDICARE PIN
TX
Enumeration date
12/06/2005
Last updated
08/11/2010
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