Provider Demographics
NPI:1568652030
Name:NEW HORIZON FAMILY PRACTICE
Entity Type:Organization
Organization Name:NEW HORIZON FAMILY PRACTICE
Other - Org Name:V & S INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIVAK
Authorized Official - Middle Name:SURYAKANT
Authorized Official - Last Name:BHATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-232-9232
Mailing Address - Street 1:5651 FRIST BLVD
Mailing Address - Street 2:STE 415
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2054
Mailing Address - Country:US
Mailing Address - Phone:615-232-9232
Mailing Address - Fax:615-232-9233
Practice Address - Street 1:5651 FRIST BLVD
Practice Address - Street 2:STE 415
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2054
Practice Address - Country:US
Practice Address - Phone:615-232-9232
Practice Address - Fax:615-232-9233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36631207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1588690168OtherNPI
TN1306872981OtherNPI
TNH76765Medicare UPIN
TN1306872981OtherNPI