Healthcare Provider Details

I. General information

NPI: 1154366284
Provider Name (Legal Business Name): KIRAN BHATIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7370 TURFWAY RD STE 390
FLORENCE KY
41042
US

IV. Provider business mailing address

PO BOX 635283
CINCINNATI OH
45263-5283
US

V. Phone/Fax

Practice location:
  • Phone: 859-212-5125
  • Fax: 859-212-5099
Mailing address:
  • Phone: 859-212-5125
  • Fax: 859-212-5099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number31178
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number31178
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number31178
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: