MEDICARE: ASTHA BHATT M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	P28023	MD
2	208600000X	Surgery Physician	ME141048	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033468731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASTHA BHATT M.D

Provider Business Mailing Address
First Line	:	660 S FEDERAL HWY STE 100
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-5944
Country	:	US
Telephone Number	:	954-388-0860
Fax Number	:	954-947-7792

Provider Business Practice Location Address
First Line	:	660 S FEDERAL HWY STE 100
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-5944
Country	:	US
Telephone Number	:	954-388-0860
Fax Number	:	954-947-7792

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2012
Last Update Date	:	10/26/2023

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