Provider Demographics
NPI:1417238668
Name:NICK BHATT, M.D. PC
Entity Type:Organization
Organization Name:NICK BHATT, M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-760-6335
Mailing Address - Street 1:1050 E 2ND ST
Mailing Address - Street 2:#235
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-5313
Mailing Address - Country:US
Mailing Address - Phone:405-715-3610
Mailing Address - Fax:
Practice Address - Street 1:1050 E 2ND ST
Practice Address - Street 2:#235
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-5313
Practice Address - Country:US
Practice Address - Phone:405-715-3610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty