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General NPI Number Information
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NPI Number | 1154520583
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Entity Type | Individual
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Provider Name | AMI SIDDHARTH BHATT MD
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Gender | Female
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 07/07/2017
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Provider Practice Location Address
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Address Line | 269 CAMPUS DR
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City | STANFORD
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State | CA
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Zip | 94305-5101
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Country | US
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Telephone | 650-498-4438
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Fax |
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Provider Business Mailing Address
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Address Line | 1183 CLARK WAY
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City | PALO ALTO
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State | CA
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Zip | 94304-2378
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A147817
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License Number State | CA
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