Organization
SHIV S. BHATT PHYSICIAN PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIV S BHATT MD (OWNER / PRESIDENT)
(315) 336-7499
Entity
Organization
Contact information
Practice address
1617 N JAMES ST, SUITE 600, ROME, NY 13440-2852
(315) 336-7499
(315) 336-3831
Mailing address
1617 N JAMES ST, SUITE 600, ROME, NY 13440-2852
(315) 336-7499
(315) 336-3831
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
146859-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA1480
MEDICARE PTAN #
NY
Enumeration date
06/25/2008
Last updated
07/05/2016
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