MEDICARE: SONJAI BHATIA M.D.

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	207RC0000X	Cardiovascular Disease Physician	036075188	IL
2	207RC0000X	Cardiovascular Disease Physician	ME155394	FL

General Provider Information

NPI Number	:	1336121037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONJAI BHATIA M.D.

Provider Business Mailing Address
First Line	:	625 TAMIAMI TRL N STE 201
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-8143
Country	:	US
Telephone Number	:	239-261-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 TAMIAMI TRL N STE 201
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-8143
Country	:	US
Telephone Number	:	239-261-2000
Fax Number	:

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

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	03/02/2023

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Directions to “ SONJAI BHATIA M.D.” Practice Location

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