MEDICARE: DR. AKSHAR ASHIWN BRAHMBHATT DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	5582	TN

General Provider Information

NPI Number	:	1114506458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AKSHAR ASHIWN BRAHMBHATT DO

Provider Business Mailing Address
First Line	:	1328 ISLAND TOWN DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38103-9026
Country	:	US
Telephone Number	:	865-789-0456
Fax Number	:

Provider Business Practice Location Address
First Line	:	1328 ISLAND TOWN DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38103-9026
Country	:	US
Telephone Number	:	865-789-0456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2021
Last Update Date	:	01/20/2026

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