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NPI Code Detail

MEDICARE: DR. ANIL KUMAR BHATIA M.D.

MEDICARE: DR. ANIL KUMAR BHATIA 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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician17876TN

General Provider Information

NPI Number : 1790898633
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANIL KUMAR BHATIA M.D.
Provider Business Mailing Address
First Line : 1334 MACKEY BRANCH DR STE A
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-3225
Country : US
Telephone Number : 423-893-7155
Fax Number : 423-894-0489
Provider Business Practice Location Address
First Line : 1334 MACKEY BRANCH DR STE A
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-3225
Country : US
Telephone Number : 423-893-7155
Fax Number : 423-894-0489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 07/09/2007

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