Provider Demographics
NPI:1891229449
Name:BHAGAT, SRISHTI LIPSA (MD-PHD)
Entity Type:Individual
Prefix:
First Name:SRISHTI
Middle Name:LIPSA
Last Name:BHAGAT
Suffix:
Gender:F
Credentials:MD-PHD
Other - Prefix:
Other - First Name:SRISHTI
Other - Middle Name:LIPSA
Other - Last Name:GARVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5200 EASTERN AVE
Mailing Address - Street 2:MASON F. LORD BUILDING CENTER TOWER 3RD FLOOR, ROOM 342
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-2734
Mailing Address - Country:US
Mailing Address - Phone:410-550-3350
Mailing Address - Fax:
Practice Address - Street 1:1200 N ELM ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1004
Practice Address - Country:US
Practice Address - Phone:336-832-2820
Practice Address - Fax:336-832-2883
Is Sole Proprietor?:No
Enumeration Date:2017-04-19
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2021018422084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology