Provider Demographics
NPI:1629215272
Name:BHATNAGAR, JYOTSNA
Entity Type:Individual
Prefix:DR
First Name:JYOTSNA
Middle Name:
Last Name:BHATNAGAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 S PARRISH CT
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-3700
Mailing Address - Country:US
Mailing Address - Phone:716-608-8106
Mailing Address - Fax:
Practice Address - Street 1:72 S PARRISH CT
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-3700
Practice Address - Country:US
Practice Address - Phone:716-608-8106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-17
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003962-1207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology