MEDICARE: MR. UTPAL BHATT 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	207RP1001X	Pulmonary Disease Physician	205455	NY
2	207RP1001X	Pulmonary Disease Physician	ME132016	FL

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649218983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. UTPAL BHATT M.D.

Provider Business Mailing Address
First Line	:	700 8TH AVE W STE 101
Second Line	:
City	:	PALMETTO
State	:	FL
Zip	:	34221-4737
Country	:	US
Telephone Number	:	941-776-4000
Fax Number	:	941-845-4963

Provider Business Practice Location Address
First Line	:	300 RIVERSIDE DR E STE 2010
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34208-1023
Country	:	US
Telephone Number	:	941-741-3338
Fax Number	:

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	09/09/2021

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