Provider Demographics
NPI:1164614376
Name:BHATT, NEHA RAMESH (MD)
Entity Type:Individual
Prefix:
First Name:NEHA
Middle Name:RAMESH
Last Name:BHATT
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 1:1148 BRANCH WATER CT
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4026
Mailing Address - Country:US
Mailing Address - Phone:678-471-3152
Mailing Address - Fax:
Practice Address - Street 1:1148 BRANCH WATER CT
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-4026
Practice Address - Country:US
Practice Address - Phone:678-471-3152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-11
Last Update Date:2007-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA059899208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics