Provider Demographics
NPI:1780823336
Name:BHATTI, HUMAA MAJEED (DO)
Entity type:Individual
Prefix:DR
First Name:HUMAA
Middle Name:MAJEED
Last Name:BHATTI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2922 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:BUILDING B
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75215-2321
Mailing Address - Country:US
Mailing Address - Phone:214-426-3645
Mailing Address - Fax:
Practice Address - Street 1:2922 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:BUILDING B
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75215-2321
Practice Address - Country:US
Practice Address - Phone:214-426-3645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101017932208000000X
TXQ5352208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics