MEDICARE: DR. AMOL MADHAV BHATKI 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	207Y00000X	Otolaryngology Physician	MD 433840	PA
2	207Y00000X	Otolaryngology Physician	N2947	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861524613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMOL MADHAV BHATKI M.D.

Provider Business Mailing Address
First Line	:	3600 GASTON AVE STE 502
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1805
Country	:	US
Telephone Number	:	469-800-7700
Fax Number	:	469-800-7710

Provider Business Practice Location Address
First Line	:	3600 GASTON AVE STE 502
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1805
Country	:	US
Telephone Number	:	469-800-7700
Fax Number	:	469-800-7710

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

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	02/05/2025

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