MEDICARE: DR. DINESH K 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	207RC0000X	Cardiovascular Disease Physician	ME108035	FL

General Provider Information

NPI Number	:	1053408815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DINESH K BHATT M.D.

Provider Business Mailing Address
First Line	:	2567 HUNTCLIFF LN
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4902
Country	:	US
Telephone Number	:	850-238-7720
Fax Number	:	850-913-8956

Provider Business Practice Location Address
First Line	:	2567 HUNTCLIFF LN
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4902
Country	:	US
Telephone Number	:	850-215-7117
Fax Number	:	850-913-8956

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	10/01/2022

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