Individual
DR. JAYANT BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44344 DEQUINDRE RD, SUITE 210, STERLING HEIGHTS, MI 48314-1038
(586) 323-4200
(586) 843-3940
Mailing address
20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301037617
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E06273
BCBSM
MI
01
—
CB9133
RAILROAD MEDICARE
MI
Enumeration date
11/14/2005
Last updated
11/01/2010
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