Provider Demographics
NPI:1578620159
Name:BHATT, SAPAN SUBHASHBHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:SAPAN
Middle Name:SUBHASHBHAI
Last Name:BHATT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3711 ACORN WOOD WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-3742
Mailing Address - Country:US
Mailing Address - Phone:832-930-8890
Mailing Address - Fax:713-929-3526
Practice Address - Street 1:3711 ACORN WOOD WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77059-3742
Practice Address - Country:US
Practice Address - Phone:281-470-6060
Practice Address - Fax:281-470-7284
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0017207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX182024301Medicaid
TXM0017OtherSTATE MEDICAL LICENSE
TX182024301Medicaid