Provider Demographics
NPI:1851144851
Name:BHAT, NUTHAN (MBBS)
Entity Type:Individual
Prefix:
First Name:NUTHAN
Middle Name:
Last Name:BHAT
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:CS0929002
Other - Middle Name:CHANDRAKANTH
Other - Last Name:BHAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBBS
Mailing Address - Street 1:2800 MAIN STREET
Mailing Address - Street 2:DEPARTMENT OF MEDICAL EDUCATION
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606
Mailing Address - Country:US
Mailing Address - Phone:475-210-5440
Mailing Address - Fax:475-210-5022
Practice Address - Street 1:2800 MAIN STREET
Practice Address - Street 2:DEPARTMENT OF MEDICAL EDUCATION
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606
Practice Address - Country:US
Practice Address - Phone:475-210-5440
Practice Address - Fax:475-210-5022
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program