Provider Demographics
NPI:1013019454
Name:BHAGAT, ANJNI (MD)
Entity Type:Individual
Prefix:
First Name:ANJNI
Middle Name:
Last Name:BHAGAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CLAY ST
Mailing Address - Street 2:
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-1905
Mailing Address - Country:US
Mailing Address - Phone:518-483-0705
Mailing Address - Fax:518-483-1375
Practice Address - Street 1:5 CLAY ST
Practice Address - Street 2:
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-1905
Practice Address - Country:US
Practice Address - Phone:518-483-0705
Practice Address - Fax:518-483-1375
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171773207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01062899Medicaid
NY110022877OtherRAILROAD MEDICARE
NYB81036OtherFRANKLIN COUNTY NURSING H
NYB81036OtherFRANKLIN COUNTY NURSING H
NY01062899Medicaid