Provider Demographics
NPI:1952512014
Name:BHAT, SUHAS D (MB BS, MD)
Entity Type:Individual
Prefix:DR
First Name:SUHAS
Middle Name:D
Last Name:BHAT
Suffix:
Gender:M
Credentials:MB BS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 PHILADELPHIA ST
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-8771
Mailing Address - Country:US
Mailing Address - Phone:515-232-2500
Mailing Address - Fax:515-246-4479
Practice Address - Street 1:1816 PHILADELPHIA ST
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-8771
Practice Address - Country:US
Practice Address - Phone:515-232-2500
Practice Address - Fax:515-246-4479
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-115355207R00000X
MN46332207R00000X
IAMD-38699207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine