Provider Demographics
NPI:1609806595
Name:BHATT, HARSHADA R (MD)
Entity Type:Individual
Prefix:DR
First Name:HARSHADA
Middle Name:R
Last Name:BHATT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:830 S MASON RD
Mailing Address - Street 2:SUITE B6
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3896
Mailing Address - Country:US
Mailing Address - Phone:281-392-2700
Mailing Address - Fax:281-392-2705
Practice Address - Street 1:830 S MASON RD
Practice Address - Street 2:SUITE B6
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3896
Practice Address - Country:US
Practice Address - Phone:281-392-2700
Practice Address - Fax:281-392-2705
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG-0662208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00RC52OtherBCBS
TX00RC52OtherBCBS