Healthcare Provider Details

I. General information

NPI: 1811985765
Provider Name (Legal Business Name): ANJALI G BHATT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 02/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 N 21ST ST
CAMP HILL PA
17011-2204
US

IV. Provider business mailing address

PO BOX 750
SCRANTON PA
18501-0750
US

V. Phone/Fax

Practice location:
  • Phone: 717-763-2900
  • Fax: 717-293-3328
Mailing address:
  • Phone: 510-346-7797
  • Fax: 510-342-9802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberMD034601L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: