MEDICARE: MISHAL T 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	207Q00000X	Family Medicine Physician	2017-01741	NC

General Provider Information

NPI Number	:	1760802045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISHAL T BHATT M.D.

Provider Business Mailing Address
First Line	:	2935 MATTHEWS WEDDINGTON RD
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28104-7996
Country	:	US
Telephone Number	:	704-500-0535
Fax Number	:	704-464-4133

Provider Business Practice Location Address
First Line	:	2935 MATTHEWS WEDDINGTON RD
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28104-7996
Country	:	US
Telephone Number	:	704-500-0535
Fax Number	:	704-464-4133

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

Provider Enumeration Date	:	04/24/2014
Last Update Date	:	01/09/2026

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