Provider Demographics
NPI:1801825583
Name:BHATTI, JAMILA SHAHEEN (MD)
Entity Type:Individual
Prefix:
First Name:JAMILA
Middle Name:SHAHEEN
Last Name:BHATTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1701 WESTCHESTER DRIVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2001
Practice Address - Street 1:1701 WESTCHESTER DRIVE
Practice Address - Street 2:SUITE 850
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7254
Practice Address - Country:US
Practice Address - Phone:336-802-2145
Practice Address - Fax:336-802-2693
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2002-01047207R00000X
NC200201047208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89132WNMedicaid
NC110243328OtherRR MEDICARE
NC110243328OtherRR MEDICARE
H70882Medicare UPIN
NC2008352Medicare PIN