Individual
DR. KRISHNA PRASAD BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1303 CARTHAGE ST, SANFORD, NC 27330-8984
(919) 292-2468
(919) 292-2167
Mailing address
1303 CARTHAGE ST, SANFORD, NC 27330-8984
(919) 292-2468
(919) 292-2167
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2007-00814
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59-06923
—
NC
Enumeration date
05/12/2006
Last updated
09/10/2020
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