Provider Demographics
NPI:1750301511
Name:SHARAD H. BHATT MD, INC
Entity Type:Organization
Organization Name:SHARAD H. BHATT MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-494-7302
Mailing Address - Street 1:907 S MAIN ST
Mailing Address - Street 2:PO BOX 2367
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-3625
Mailing Address - Country:US
Mailing Address - Phone:330-494-7302
Mailing Address - Fax:330-494-0830
Practice Address - Street 1:907 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-3625
Practice Address - Country:US
Practice Address - Phone:330-494-7302
Practice Address - Fax:330-494-0830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSH0725875Medicare PIN