Healthcare Provider Details

I. General information

NPI: 1003446139
Provider Name (Legal Business Name): MONIKA KUMARI BHATIA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2020
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 WISCONSIN AVE NW
WASHINGTON DC
20015-2015
US

IV. Provider business mailing address

5301 WISCONSIN AVE NW
WASHINGTON DC
20015-2015
US

V. Phone/Fax

Practice location:
  • Phone: 732-668-4862
  • Fax:
Mailing address:
  • Phone: 732-668-4862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberPA200001319
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: