Provider Demographics
NPI:1104141464
Name:BHATTI, NADIA IQBAL (PHARM D)
Entity type:Individual
Prefix:DR
First Name:NADIA
Middle Name:IQBAL
Last Name:BHATTI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13436 58TH RD
Mailing Address - Street 2:APT 2
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5235
Mailing Address - Country:US
Mailing Address - Phone:718-961-2139
Mailing Address - Fax:
Practice Address - Street 1:13436 58TH RD
Practice Address - Street 2:APT 2
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5235
Practice Address - Country:US
Practice Address - Phone:718-961-2139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054288183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist