MEDICARE: FARRUKH L BHATTI 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	2084P0800X	Psychiatry Physician	200500162	NC

General Provider Information

NPI Number	:	1457399842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARRUKH L BHATTI MD

Provider Business Mailing Address
First Line	:	7021 SHINNECOCK HILLS DR
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76132-7123
Country	:	US
Telephone Number	:	817-805-6474
Fax Number	:

Provider Business Practice Location Address
First Line	:	7021 SHINNECOCK HILLS DR
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76132-7123
Country	:	US
Telephone Number	:	817-805-6474
Fax Number	:

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

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	01/03/2020

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