MEDICARE: DR. AVINASH DILIPKUMAR BHATIA PHARM.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	183500000X	Pharmacist	03331404	OH
2	183500000X	Pharmacist	030089	GA

General Provider Information

NPI Number	:	1790273175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AVINASH DILIPKUMAR BHATIA PHARM.D

Provider Business Mailing Address
First Line	:	745 FOUNTAINHEAD LN NE UNIT 114
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-3542
Country	:	US
Telephone Number	:	330-307-4418
Fax Number	:

Provider Business Practice Location Address
First Line	:	745 FOUNTAINHEAD LN NE UNIT 114
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-3542
Country	:	US
Telephone Number	:	330-307-4418
Fax Number	:

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

Provider Enumeration Date	:	05/01/2018
Last Update Date	:	07/14/2025

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