MEDICARE: KHUSHALI GHANSHYAMBHAI BRAHMBHATT

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	225100000X	Physical Therapist	049345	NY

General Provider Information

NPI Number	:	1548965700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHUSHALI GHANSHYAMBHAI BRAHMBHATT

Provider Business Mailing Address
First Line	:	98 CENTRAL AVE APT 2
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-2336
Country	:	US
Telephone Number	:	201-238-1338
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 E 138TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-6425
Country	:	US
Telephone Number	:	718-559-0909
Fax Number	:

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

Provider Enumeration Date	:	04/04/2023
Last Update Date	:	04/04/2023

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Directions to “ KHUSHALI GHANSHYAMBHAI BRAHMBHATT ” Practice Location

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