Provider Demographics
NPI:1922618610
Name:BHATIA, KHUSHBOO VIJAY (MBBS)
Entity Type:Individual
Prefix:MS
First Name:KHUSHBOO
Middle Name:VIJAY
Last Name:BHATIA
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:INTERNAL MEDICINE RESIDENCY PROGRAM, MOUNT AUBURN HOSPI
Mailing Address - Street 2:330 MT. AUBURN STREET
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138
Mailing Address - Country:US
Mailing Address - Phone:617-499-5571
Mailing Address - Fax:
Practice Address - Street 1:INTERNAL MEDICINE RESIDENCY PROGRAM, MOUNT AUBURN HOSPI
Practice Address - Street 2:330 MT. AUBURN STREET
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138
Practice Address - Country:US
Practice Address - Phone:617-499-5571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program