Provider Demographics
NPI:1235531385
Name:DEO BHATI M.D.
Entity Type:Organization
Organization Name:DEO BHATI M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DEO
Authorized Official - Middle Name:KALYAN
Authorized Official - Last Name:BHATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-658-3032
Mailing Address - Street 1:3 POND VIEW CT
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5471
Mailing Address - Country:US
Mailing Address - Phone:817-658-3032
Mailing Address - Fax:817-453-8710
Practice Address - Street 1:3 POND VIEW CT
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-5471
Practice Address - Country:US
Practice Address - Phone:817-658-3032
Practice Address - Fax:817-453-8710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD8997251G00000X, 282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
No251G00000XAgenciesHospice Care, Community Based