Provider Demographics
NPI:1497824114
Name:BHATTI, KHALID M (MD)
Entity Type:Individual
Prefix:DR
First Name:KHALID
Middle Name:M
Last Name:BHATTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:105 FINANCIAL PL STE 105
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-8437
Mailing Address - Country:US
Mailing Address - Phone:270-765-5112
Mailing Address - Fax:270-737-9252
Practice Address - Street 1:105 FINANCIAL PL STE 105
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-8437
Practice Address - Country:US
Practice Address - Phone:270-765-5112
Practice Address - Fax:270-737-9252
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY32497207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64324973Medicaid
KY0659102Medicare ID - Type Unspecified
KYG44808Medicare UPIN