MEDICARE: DR. HELI BHATT MD

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	208000000X	Pediatrics Physician	174137	CA
2	208000000X	Pediatrics Physician	T1301	TX

General Provider Information

NPI Number	:	1235620543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELI BHATT MD

Provider Business Mailing Address
First Line	:	4190 CHICAGO AVE
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-5348
Country	:	US
Telephone Number	:	951-683-2106
Fax Number	:

Provider Business Practice Location Address
First Line	:	4190 CHICAGO AVE
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-5348
Country	:	US
Telephone Number	:	951-683-2106
Fax Number	:

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

Provider Enumeration Date	:	05/22/2018
Last Update Date	:	06/09/2022

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