Healthcare Provider Details

I. General information

NPI: 1326308057
Provider Name (Legal Business Name): FARHAN BHATTI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2012
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 S PENNSYLVANIA AVE STE 101
LANSING MI
48912-1658
US

IV. Provider business mailing address

1115 S PENNSYLVANIA AVE STE 101
LANSING MI
48912-1658
US

V. Phone/Fax

Practice location:
  • Phone: 517-887-5922
  • Fax: 517-887-5982
Mailing address:
  • Phone: 517-887-5922
  • Fax: 517-887-5982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number4301100818
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301100818
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: