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NPI Code Detail

MEDICARE: BHAVI KHANT

MEDICARE:   BHAVI  KHANT
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
1363LF0000XFamily Nurse PractitionerSP023595PA

General Provider Information

NPI Number : 1619629748
Entity Type Code : Individual
Provider Name (Legal Business Name) : BHAVI KHANT
Provider Business Mailing Address
First Line : 3260 TILLMAN DR STE 120
Second Line :
City : BENSALEM
State : PA
Zip : 19020-2058
Country : US
Telephone Number : 215-305-8834
Fax Number :
Provider Business Practice Location Address
First Line : 3260 TILLMAN DR STE 120
Second Line :
City : BENSALEM
State : PA
Zip : 19020-2058
Country : US
Telephone Number : 215-305-8834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2022
Last Update Date : 12/31/2023

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Directions to “ BHAVI KHANT ” Practice Location

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