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1528151321 NPI number — SHIVANK BHATIA MD

NPI Number: 1528151321
Health Care Provider/Practitioner: SHIVANK BHATIA MD

Information about “1528151321” NPI (SHIVANK BHATIA MD) exists in 1528151321 in HTML format HTML  |  1528151321 in plain Text format TXT  |  1528151321 in PDF (Portable Document Format) PDF  |  1528151321 in an XML format XML  formats.

NPI Number : 1528151321 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528151321",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BHATIA",
    "FirstName": "SHIVANK",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3251 E STONEBROOK CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DAVIE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33330-1293",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-979-9602",
    "MailingAddressFaxNumber": "469-405-4958",
    "FirstLinePracticeLocationAddress": "13722 S JOG RD STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DELRAY BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33446-5909",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-560-0723",
    "PracticeLocationAddressFaxNumber": "469-405-4958",
    "EnumerationDate": "10/02/2006",
    "LastUpdateDate": "05/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2085R0204X",
          "TaxonomyName": "Vascular & Interventional Radiology Physician",
          "LicenseNumber": "MFC1602",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085R0204X",
          "TaxonomyName": "Vascular & Interventional Radiology Physician",
          "LicenseNumber": "ME100945",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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