Provider Demographics
NPI:1467837799
Name:BHAT, MOODAKARE ASHWINI (MD)
Entity Type:Individual
Prefix:
First Name:MOODAKARE
Middle Name:ASHWINI
Last Name:BHAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHWINI
Other - Middle Name:
Other - Last Name:BHAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1130 PELHAM PKWY S
Mailing Address - Street 2:APT 4H
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1019
Mailing Address - Country:US
Mailing Address - Phone:917-383-7997
Mailing Address - Fax:
Practice Address - Street 1:1130 PELHAM PKWY S
Practice Address - Street 2:APT 4H
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1019
Practice Address - Country:US
Practice Address - Phone:917-383-7997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program