Individual
SHIVANI BHATNAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
294 SUMMAR DR, JACKSON, TN 38301-3915
(731) 541-4755
Mailing address
11002 AVERY ARBOR LN, CYPRESS, TX 77433-5333
(404) 667-4721
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME158702
FL
207Q00000X
Family Medicine Physician
61390
TN
Other
Enumeration date
03/23/2017
Last updated
08/23/2022
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