MEDICARE: SUMEET BHATIA 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	207RH0000X	Hematology (Internal Medicine) Physician	01050303A	IN
2	207RH0003X	Hematology & Oncology Physician	01050303A	IN
3	207RX0202X	Medical Oncology Physician	01050303A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00452305	OTHER	IN	MEDICARE RR
7	P01751207	OTHER	IN	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3376558	OTHER	IN	CIGNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	7829142	OTHER	IN	AETNA
5	000000475173	OTHER	IN	ANTHEM
6	295845	OTHER	IN	WELLCARE

General Provider Information

NPI Number	:	1922079474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMEET BHATIA MD

Provider Business Mailing Address
First Line	:	6626 E 75TH ST
Second Line	:	STE 500
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2805
Country	:	US
Telephone Number	:	317-621-4300
Fax Number	:	317-621-4301

Provider Business Practice Location Address
First Line	:	7979 N SHADELAND AVE
Second Line	:	STE 200
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2042
Country	:	US
Telephone Number	:	317-621-4300
Fax Number	:	317-621-4301

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

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	09/06/2023

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Directions to “ SUMEET BHATIA MD” Practice Location

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