Provider Demographics
NPI:1598333445
Name:BHATT, PADMANABH SHRIKANT (MD)
Entity Type:Individual
Prefix:DR
First Name:PADMANABH
Middle Name:SHRIKANT
Last Name:BHATT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 MOUNT AUBURN STREET, MOUNT AUBURN HOSPITAL
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138
Mailing Address - Country:US
Mailing Address - Phone:617-499-5571
Mailing Address - Fax:
Practice Address - Street 1:330 MOUNT AUBURN STREET, MOUNT AUBURN HOSPITAL
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138
Practice Address - Country:US
Practice Address - Phone:617-499-5571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2023-05-26
Deactivation Date:2023-04-06
Deactivation Code:
Reactivation Date:2023-05-15
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program