Healthcare Provider Details

I. General information

NPI: 1831679018
Provider Name (Legal Business Name): NEIL KARAN BHATIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2018
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EMORY HEALTHCARE 1364 CLIFTON ROAD NE
ATLANTA GA
30322-0001
US

IV. Provider business mailing address

EMORY UNIVERSITY SCHOOL OF MEDICINE 100 WOODRUFF CIRCLE, SUITE P375
ATLANTA GA
30022
US

V. Phone/Fax

Practice location:
  • Phone: 404-712-2000
  • Fax:
Mailing address:
  • Phone: 404-727-5655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: