Healthcare Provider Details

I. General information

NPI: 1588489587
Provider Name (Legal Business Name): SHIVANI BHAT M.D., M.P.H
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 09/21/2026
Certification Date:
Deactivation Date: 06/27/2025
Reactivation Date: 09/21/2026

III. Provider practice location address

COLLEGE OF MEDICINE, UNIVERSITY OF SASKATCHEWAN 1440 14TH AVENUE
REGINA SASKATCHEWAN
S4P 0W5
CA

IV. Provider business mailing address

COLLEGE OF MEDICINE, UNIVERSITY OF SASKATCHEWAN 1440 14TH AVENUE
REGINA SASKATCHEWAN
S4P 0W5
CA

V. Phone/Fax

Practice location:
  • Phone: 306-766-3708
  • Fax: 306-766-4833
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
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: