Provider Demographics
NPI:1649562380
Name:BHATT, ANUPAMA BHIMAVARAPU (MD)
Entity Type:Individual
Prefix:DR
First Name:ANUPAMA
Middle Name:BHIMAVARAPU
Last Name:BHATT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANUPAMA
Other - Middle Name:
Other - Last Name:BHIMAVARAPU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:375 MOUNT PLEASANT AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2751
Mailing Address - Country:US
Mailing Address - Phone:732-937-8939
Mailing Address - Fax:
Practice Address - Street 1:375 MOUNT PLEASANT AVE STE 102
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2751
Practice Address - Country:US
Practice Address - Phone:732-937-8939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-13
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10531900207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine