Provider Demographics
NPI:1598108854
Name:BHATT, MAYOOR
Entity Type:Organization
Organization Name:BHATT, MAYOOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MAYOOR
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-540-3699
Mailing Address - Street 1:PO BOX 455
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-0455
Mailing Address - Country:US
Mailing Address - Phone:409-549-2518
Mailing Address - Fax:409-989-1191
Practice Address - Street 1:3600 GATES BLVD
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-3858
Practice Address - Country:US
Practice Address - Phone:409-549-2518
Practice Address - Fax:409-989-1191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5574282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital