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NPI Code Detail

MEDICARE: MATTOO & BHAT MEDICAL ASSOCIATES, P.C.

MEDICARE: MATTOO & BHAT MEDICAL ASSOCIATES, P.C.
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
1174400000XSpecialist

General Provider Information

NPI Number : 1215978267
Entity Type Code : Organization
Provider Name (Legal Business Name) : MATTOO & BHAT MEDICAL ASSOCIATES, P.C.
Provider Business Mailing Address
First Line : 385 SENECA AVE
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-1340
Country : US
Telephone Number : 718-899-0060
Fax Number : 718-559-6758
Provider Business Practice Location Address
First Line : 385 SENECA AVE
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-1340
Country : US
Telephone Number : 718-899-0060
Fax Number : 718-559-6758
Authorized Official
Title or Position : PRESIDENT
Name : DR. JODUMUTT G BHAT
Credential : MD
Telephone Number : 718-899-0060
Provider Enumeration Date : 06/09/2006
Last Update Date : 07/30/2025

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