MEDICARE: DR. YUDHISHTER MOHAN BHATNAGAR 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	207VE0102X	Reproductive Endocrinology Physician	MD018998E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000066370	OTHER	PA	HIGHMARK BLUE CROSS

General Provider Information

NPI Number	:	1609864719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YUDHISHTER MOHAN BHATNAGAR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 447
Second Line	:
City	:	DU BOIS
State	:	PA
Zip	:	15801-0447
Country	:	US
Telephone Number	:	814-849-4611
Fax Number	:	814-849-8746

Provider Business Practice Location Address
First Line	:	240 ALLEGHENY BLVD
Second Line	:	SUITE C
City	:	BROOKVILLE
State	:	PA
Zip	:	15825-2323
Country	:	US
Telephone Number	:	814-849-4611
Fax Number	:	814-849-8746

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	06/15/2011

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