Provider Demographics
NPI:1790190668
Name:BHATT, KUSHAL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KUSHAL
Middle Name:
Last Name:BHATT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6338 OYSTER BAY CT
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-3421
Mailing Address - Country:US
Mailing Address - Phone:412-608-6742
Mailing Address - Fax:
Practice Address - Street 1:1340 MAIN ST
Practice Address - Street 2:
Practice Address - City:BURGETTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15021-1080
Practice Address - Country:US
Practice Address - Phone:724-947-4722
Practice Address - Fax:724-947-0510
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446199183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist