Provider Demographics
NPI:1679100010
Name:BHATTAR, PADMAPRIYA M
Entity Type:Individual
Prefix:MRS
First Name:PADMAPRIYA
Middle Name:M
Last Name:BHATTAR
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 1:1620 N US HIGHWAY 1 STE 11
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-3241
Mailing Address - Country:US
Mailing Address - Phone:561-341-0229
Mailing Address - Fax:
Practice Address - Street 1:1620 N US HIGHWAY 1 STE 11
Practice Address - Street 2:
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-3241
Practice Address - Country:US
Practice Address - Phone:561-341-0229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80765237700000X
FLAS4910237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist