MEDICARE: PRAVJIT BHATTI MD

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	208600000X	Surgery Physician	ML61681522	WA

General Provider Information

NPI Number	:	1730889445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRAVJIT BHATTI MD

Provider Business Mailing Address
First Line	:	1959 NE PACIFIC STREET BOX 356410
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-2126
Country	:	US
Telephone Number	:	206-598-4477
Fax Number	:

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

Provider Enumeration Date	:	03/09/2023
Last Update Date	:	07/09/2025

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