Provider Demographics
NPI:1578663662
Name:BHAT INTERNAL MEDICINE PC
Entity Type:Organization
Organization Name:BHAT INTERNAL MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MURALIKRISHNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BHAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-290-9151
Mailing Address - Street 1:2121 N BEVERLY AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2154
Mailing Address - Country:US
Mailing Address - Phone:520-290-9151
Mailing Address - Fax:520-290-9152
Practice Address - Street 1:2121 N BEVERLY AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2154
Practice Address - Country:US
Practice Address - Phone:520-290-9151
Practice Address - Fax:520-290-9152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ415310Medicaid
AZ415310Medicaid