Healthcare Provider Details

I. General information

NPI: 1376068296
Provider Name (Legal Business Name): MS. FALGUNI KRIS BHATT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2017
Last Update Date: 04/01/2020
Certification Date: 04/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 N HIGH ST
COLUMBUS OH
43201-2409
US

IV. Provider business mailing address

4319 HEATHER RIDGE DR
HILLIARD OH
43026-3424
US

V. Phone/Fax

Practice location:
  • Phone: 614-340-6776
  • Fax:
Mailing address:
  • Phone: 614-271-2401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-2-18090
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: