Healthcare Provider Details

I. General information

NPI: 1578147286
Provider Name (Legal Business Name): SHAIGAN BHATTI MD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2021
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 E APPLE ST
DAYTON OH
45409-2902
US

IV. Provider business mailing address

128 E APPLE ST STE 3800
DAYTON OH
45409-2902
US

V. Phone/Fax

Practice location:
  • Phone: 937-208-2007
  • Fax: 937-208-2752
Mailing address:
  • Phone: 937-208-2007
  • Fax: 937-208-2752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number35.153938
License Number StateOH
# 2
Primary TaxonomyN
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: