Healthcare Provider Details

I. General information

NPI: 1285649343
Provider Name (Legal Business Name): BHARATI P KOLTE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3921 STECK AVE STE A110
AUSTIN TX
78759-8647
US

IV. Provider business mailing address

3921 STECK AVE STE A110
AUSTIN TX
78759-8647
US

V. Phone/Fax

Practice location:
  • Phone: 512-476-9934
  • Fax: 512-476-8404
Mailing address:
  • Phone: 512-476-9934
  • Fax: 512-476-8404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC3500X
TaxonomyCardiac Rehabilitation Registered Nurse
License NumberL0346
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberL0346
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberL0347
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: