Individual
PRAFULCHANDRA U BHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
955 BELLEFONTE AVE, LOCK HAVEN, PA 17745-6017
(570) 748-7714
(570) 893-6325
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 214-9907
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD025716E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008122660001
—
PA
Enumeration date
09/14/2005
Last updated
08/11/2020
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