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NPI Code Detail

MEDICARE: MATIN BHATT

MEDICARE:   MATIN  BHATT
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
1183500000XPharmacist16389NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
116389OTHERNVPHARMACIST LICENSE

General Provider Information

NPI Number : 1679213052
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATIN BHATT
Provider Business Mailing Address
First Line : 5082 E LAKE MEAD BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-3666
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5082 E LAKE MEAD BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-3666
Country : US
Telephone Number : 702-531-2038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2022
Last Update Date : 03/31/2022

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Directions to “ MATIN BHATT ” Practice Location

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