MEDICARE: BHAT INTERNAL MEDICINE PC

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	207R00000X	Internal Medicine Physician

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	:	1578663662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BHAT INTERNAL MEDICINE PC

Provider Business Mailing Address
First Line	:	2121 N BEVERLY AVE
Second Line	:	SUITE 101
City	:	TUCSON
State	:	AZ
Zip	:	85712-2154
Country	:	US
Telephone Number	:	520-290-9151
Fax Number	:	520-290-9152

Provider Business Practice Location Address
First Line	:	2121 N BEVERLY AVE
Second Line	:	SUITE 101
City	:	TUCSON
State	:	AZ
Zip	:	85712-2154
Country	:	US
Telephone Number	:	520-290-9151
Fax Number	:	520-290-9152

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MURALIKRISHNA K BHAT
Credential	:	M.D.
Telephone Number	:	520-290-9151

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	02/15/2013

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Directions to “BHAT INTERNAL MEDICINE PC ” Practice Location

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