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General NPI Number Information
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NPI Number | 1700268240
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Entity Type | Individual
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Provider Name | AMIT BHATIA MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2015
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 223 SE DAVIS AVE
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City | BEND
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State | OR
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Zip | 97702-1333
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Country | US
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Telephone | 541-728-3532
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Fax |
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Provider Business Mailing Address
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Address Line | 2909 NE LAUREL OAK DR
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City | BEND
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State | OR
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Zip | 97701-7653
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Country | US
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Telephone | 541-728-3532
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036144364
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License Number State | IL
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