Individual
GIRISH R BHATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2360 KATY LN, POPLAR BLUFF, MO 63901-2300
(573) 785-0080
(573) 785-0811
Mailing address
2360 KATY LN, POPLAR BLUFF, MO 63901-2300
(573) 785-0080
(573) 785-0811
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2004029630
MO
2086S0129X
Vascular Surgery Physician
E4582
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159436001
—
AR
Enumeration date
07/03/2006
Last updated
11/01/2010
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