MEDICARE: BHATIA PULMONARY REHABILITATION LLC

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1700694809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BHATIA PULMONARY REHABILITATION LLC

Provider Business Mailing Address
First Line	:	2759 SUNRIDGE HEIGHTS PKWY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-5046
Country	:	US
Telephone Number	:	725-755-5864
Fax Number	:	702-268-7081

Provider Business Practice Location Address
First Line	:	2759 SUNRIDGE HEIGHTS PKWY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-5046
Country	:	US
Telephone Number	:	725-755-5864
Fax Number	:	702-268-7081

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	JANICE DELOS REYES
Credential	:
Telephone Number	:	775-309-4134

Provider Enumeration Date	:	12/20/2024
Last Update Date	:	12/20/2024

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