MEDICARE: DR. AHSAN M BHATTI MD

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	207RG0100X	Gastroenterology Physician	43105	MN

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	:	1518934736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AHSAN M BHATTI MD

Provider Business Mailing Address
First Line	:	1457 WHITE OAK DR
Second Line	:
City	:	CHASKA
State	:	MN
Zip	:	55318-2525
Country	:	US
Telephone Number	:	952-368-3800
Fax Number	:	952-368-3801

Provider Business Practice Location Address
First Line	:	1457 WHITE OAK DR
Second Line	:
City	:	CHASKA
State	:	MN
Zip	:	55318-2525
Country	:	US
Telephone Number	:	952-368-3800
Fax Number	:	952-368-3801

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

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	01/06/2016

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