Individual
DR. OMPRAKASH M BHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(866) 344-0543
(866) 344-3934
Mailing address
DEPT 4931, CAROL STREAM, IL 60122-4931
(866) 540-5303
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
235721
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD068893L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019395490001
—
PA
01
—
1972038
HIGHMARK
PA
01
—
2881745000
BLUE SHIELD INDEPENDENCE
PA
01
—
30043786
KEYSTONE MERCY
PA
Enumeration date
06/12/2007
Last updated
07/19/2024
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