Provider Demographics
NPI:1407606858
Name:BJ BHAKTA HEALTH PLLC
Entity Type:Organization
Organization Name:BJ BHAKTA HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BINNY
Authorized Official - Middle Name:JAYESH
Authorized Official - Last Name:BHAKTA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-766-5054
Mailing Address - Street 1:609 CLAYTON LN APT 628
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-0621
Mailing Address - Country:US
Mailing Address - Phone:512-766-5054
Mailing Address - Fax:
Practice Address - Street 1:5501 N LAMAR BLVD STE C111
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-1076
Practice Address - Country:US
Practice Address - Phone:512-766-5054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty