Provider Demographics
NPI:1558552539
Name:BHATNAGAR, RASHMI (DMD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RASHMI
Middle Name:
Last Name:BHATNAGAR
Suffix:
Gender:F
Credentials:DMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4455 E. PARADISE VILLAGE PARKWAY SOUTH, UNIT 1060
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032
Mailing Address - Country:US
Mailing Address - Phone:602-300-5409
Mailing Address - Fax:
Practice Address - Street 1:15715 S 46TH ST STE 104
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-0439
Practice Address - Country:US
Practice Address - Phone:602-300-5409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD71981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice