Provider Demographics
NPI:1578727657
Name:BHARMOTA, SATYA (MD)
Entity Type:Individual
Prefix:DR
First Name:SATYA
Middle Name:
Last Name:BHARMOTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6089 FRANTZ RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-3326
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6089 FRANTZ RD
Practice Address - Street 2:SUITE 103
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3326
Practice Address - Country:US
Practice Address - Phone:614-792-3438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35039055208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice