Provider Demographics
NPI:1013014257
Name:RAJ K BHATIA MD INC
Entity Type:Organization
Organization Name:RAJ K BHATIA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJ
Authorized Official - Middle Name:K
Authorized Official - Last Name:BHATIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-874-2263
Mailing Address - Street 1:11201 SANDUSKY ST
Mailing Address - Street 2:# 101
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-3130
Mailing Address - Country:US
Mailing Address - Phone:419-874-2263
Mailing Address - Fax:419-874-1879
Practice Address - Street 1:11201 SANDUSKY ST
Practice Address - Street 2:101
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-3130
Practice Address - Country:US
Practice Address - Phone:419-874-2263
Practice Address - Fax:419-874-1879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRA9931371Medicare PIN