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Physician Compare National (NPI:1073608899)

HEALTHCARE PROVIDER: ANNAPURNA BHAT MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1073608899
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9638164619
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040419000823
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BHAT
Individual professional last name
Provider First Name ANNAPURNA
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1981
Individual professional's medical school graduation year
Primary Specialty RHEUMATOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 145 N PARK TRL
Group Practice or individual's line 1 address
City STOCKBRIDGE
Group Practice or individual's city
State GA
Group Practice or individual's state
Zip Code 302817373
Group Practice or individual's zip code (9 digits when available)
Phone Number 7709918865
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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