Provider Demographics
NPI:1821351107
Name:BHATTI, SANA L (MD)
Entity Type:Individual
Prefix:
First Name:SANA
Middle Name:L
Last Name:BHATTI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:7731 OLD CANTON RD STE B
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-6115
Mailing Address - Country:US
Mailing Address - Phone:601-499-0935
Mailing Address - Fax:601-499-0936
Practice Address - Street 1:7730 OLD CANTON RD BLDG A
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-9299
Practice Address - Country:US
Practice Address - Phone:601-499-0935
Practice Address - Fax:601-499-0936
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2019-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA252579208200000X
MS26873208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery