MEDICARE: DR. RASHMI BHATT DDS

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	122300000X	Dentist	0401007629	VA

General Provider Information

NPI Number	:	1588830509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RASHMI BHATT DDS

Provider Business Mailing Address
First Line	:	5660 INDIAN RIVER RD
Second Line	:	SUITE 114
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-5240
Country	:	US
Telephone Number	:	757-523-0898
Fax Number	:	757-523-5460

Provider Business Practice Location Address
First Line	:	5660 INDIAN RIVER RD
Second Line	:	SUITE 114
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-5240
Country	:	US
Telephone Number	:	757-523-0898
Fax Number	:	757-523-5460

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

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	04/30/2008

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