Provider Demographics
NPI:1609864719
Name:BHATNAGAR, YUDHISHTER MOHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:YUDHISHTER
Middle Name:MOHAN
Last Name:BHATNAGAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 447
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-0447
Mailing Address - Country:US
Mailing Address - Phone:814-849-4611
Mailing Address - Fax:814-849-8746
Practice Address - Street 1:240 ALLEGHENY BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:BROOKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15825-2323
Practice Address - Country:US
Practice Address - Phone:814-849-4611
Practice Address - Fax:814-849-8746
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018998E207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005873780003Medicaid
PA000066370OtherHIGHMARK BLUE CROSS
PA000066370OtherHIGHMARK BLUE CROSS
PAB34765Medicare UPIN