Provider Demographics
NPI:1184734667
Name:BHAT, SAVITA S (MD)
Entity type:Individual
Prefix:
First Name:SAVITA
Middle Name:S
Last Name:BHAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 LAMP AND LANTERN VLG STE 292
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-8208
Mailing Address - Country:US
Mailing Address - Phone:314-736-5575
Mailing Address - Fax:314-736-5576
Practice Address - Street 1:167 LAMP AND LANTERN VLG STE 292
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-8208
Practice Address - Country:US
Practice Address - Phone:314-736-5575
Practice Address - Fax:314-736-5576
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1003312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO120634OtherBLUE CROSS BLUE SHIELD
MO1532393OtherUNITED HEALTHCARE
MO406871OtherHEALTHLINK
MO260040378OtherRR MEDICARE
MOF68619Medicare UPIN
MO120634OtherBLUE CROSS BLUE SHIELD