Provider Demographics
NPI:1053577890
Name:BHATTI, ZAGUM A (MD)
Entity type:Individual
Prefix:
First Name:ZAGUM
Middle Name:A
Last Name:BHATTI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3300 JIMMY JOHNSON BLVD
Mailing Address - Street 2:STE 130
Mailing Address - City:PORT AUTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-6305
Mailing Address - Country:US
Mailing Address - Phone:713-364-5348
Mailing Address - Fax:888-355-5703
Practice Address - Street 1:3300 JIMMY JOHNSON BLVD
Practice Address - Street 2:STE 130
Practice Address - City:PORT AUTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-6305
Practice Address - Country:US
Practice Address - Phone:713-364-5348
Practice Address - Fax:888-355-5703
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2025-05-29
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Provider Licenses
StateLicense IDTaxonomies
IAMD-502612085R0202X, 2085R0204X
TXQ38522085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX417706YSB5Medicare PIN