Individual
DR. HETAL K. BRAHMBHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
159 SUN CHASE CT, JOHNSON CITY, TN 37615-5502
(423) 767-5444
Mailing address
159 SUN CHASE CT, JOHNSON CITY, TN 37615-5502
(423) 767-5444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD31821
TN
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
5315215826
MI
2084P0800X
Psychiatry Physician
036151625
IL
2084P0800X
Psychiatry Physician
29546
WV
2084P0800X
Psychiatry Physician
678
WI
2084P0800X
Psychiatry Physician
Primary
MD31821
TN
2084P0800X
Psychiatry Physician
MD487425C
PA
2084P0800X
Psychiatry Physician
MED-PHYS-LIC-81169
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104486527
—
PA
05
—
1841283199
—
VA
01
—
291123000
MAGELLAN
TN
05
—
3856024
—
TN
Enumeration date
08/23/2005
Last updated
01/15/2026
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