1487971792 NPI number — DR. D HARSHAD BHATT M.D., PH.D.

Table of content: DR. D HARSHAD BHATT M.D., PH.D. (NPI 1487971792)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487971792 NPI number — DR. D HARSHAD BHATT M.D., PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BHATT
Provider First Name:
D
Provider Middle Name:
HARSHAD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D., PH.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BHATT
Provider Other First Name:
DIMPLE
Provider Other Middle Name:
HARSHAD
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D., PH.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1487971792
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/30/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
333 HUDSON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10013-1006
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
347-796-0111
Provider Business Mailing Address Fax Number:
646-586-3013

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
333 HUDSON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10013-1006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-796-0111
Provider Business Practice Location Address Fax Number:
646-586-3013
Provider Enumeration Date:
04/26/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  263298 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 263298 . This is a "NYS LICENSE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".