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NPI Code Detail

MEDICARE: DR. ANAND KRISHNA BHAT M.D.

MEDICARE: DR. ANAND KRISHNA BHAT 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
1207RA0201XAllergy & Immunology (Internal Medicine) Physician322622LA
2207R00000XInternal Medicine Physician35.121131OH
3207R00000XInternal Medicine Physician322622LA
4207RS0012XSleep Medicine (Internal Medicine) Physician322622LA

Other Identifiers

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

General Provider Information

NPI Number : 1992084750
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANAND KRISHNA BHAT M.D.
Provider Business Mailing Address
First Line : 1455 E BERT KOUNS INDUSTRIAL LOOP
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-6000
Country : US
Telephone Number : 318-798-4539
Fax Number :
Provider Business Practice Location Address
First Line : 1455 E BERT KOUNS INDUSTRIAL LOOP STE 106
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-5634
Country : US
Telephone Number : 318-798-4573
Fax Number : 318-798-4651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2011
Last Update Date : 12/19/2025

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