Individual
AMIT BHAKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342
(361) 790-4057
Mailing address
5321 GRAFORD PL, CORPUS CHRISTI, TX 78413-5314
(361) 790-4057
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
80902
GA
Other
Enumeration date
05/16/2013
Last updated
07/02/2018
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