Provider Demographics
NPI:1770509523
Name:BHATIA, BELA D (MD)
Entity type:Individual
Prefix:DR
First Name:BELA
Middle Name:D
Last Name:BHATIA
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 1:630 GREYSTONE PARK NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-5285
Mailing Address - Country:US
Mailing Address - Phone:646-382-8932
Mailing Address - Fax:
Practice Address - Street 1:630 GREYSTONE PARK NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-5285
Practice Address - Country:US
Practice Address - Phone:646-382-8932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA607222085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02736538Medicaid
PENDINGMedicare ID - Type Unspecified
NY02736538Medicaid