Provider Demographics
NPI:1558372680
Name:BHATTI, MUHAMMAD ASHRAF (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:ASHRAF
Last Name:BHATTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2807 MCLAMB PL
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-1647
Mailing Address - Country:US
Mailing Address - Phone:919-734-3999
Mailing Address - Fax:919-734-0107
Practice Address - Street 1:2807 MCLAMB PL
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-1647
Practice Address - Country:US
Practice Address - Phone:919-734-3999
Practice Address - Fax:919-734-0107
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0093-00036207Q00000X
TNMD0000024476207Q00000X
GA036644207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2196187DOtherMEDICARE PTAN
01-54328OtherUNITED HEALTHCARE
NCP00111544OtherRAILROAD MEDICARE
NC890248WMedicaid
NCP00111544OtherRAILROAD MEDICARE