Provider Demographics
NPI:1659473544
Name:BHATTI, INDERJIT S (MD)
Entity Type:Individual
Prefix:DR
First Name:INDERJIT
Middle Name:S
Last Name:BHATTI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:G3380 BEECHER RD
Mailing Address - Street 2:STE B
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3647
Mailing Address - Country:US
Mailing Address - Phone:810-230-8946
Mailing Address - Fax:810-230-0223
Practice Address - Street 1:G3380 BEECHER RD
Practice Address - Street 2:SUITE B
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3647
Practice Address - Country:US
Practice Address - Phone:810-230-8946
Practice Address - Fax:810-230-0223
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2011-11-21
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Provider Licenses
StateLicense IDTaxonomies
MI4301044587207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4084920Medicaid
MIM23560012Medicare PIN
MIB43731Medicare UPIN