1699245811 NPI number — DR. SINDHURA SHARMA BHAT M.D.

Table of content: DR. SINDHURA SHARMA BHAT M.D. (NPI 1699245811)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699245811 NPI number — DR. SINDHURA SHARMA BHAT M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHARMA BHAT
Provider First Name:
SINDHURA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699245811
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/30/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
DEPARTMENT OF ANESTHESIOLOGY
Provider Second Line Business Mailing Address:
1611 NW 12TH AVE SUITE CT - 1004
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33136
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-355-1122
Provider Business Mailing Address Fax Number:
305-355-1123

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1611 NW 12TH AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-355-1122
Provider Business Practice Location Address Fax Number:
305-355-1123
Provider Enumeration Date:
11/30/2018

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: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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