Provider Demographics
NPI:1932169463
Name:BHAT, ABDUL R (MD)
Entity Type:Individual
Prefix:
First Name:ABDUL
Middle Name:R
Last Name:BHAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:761 WORCESTER RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-5207
Mailing Address - Country:US
Mailing Address - Phone:508-872-3254
Mailing Address - Fax:508-879-7910
Practice Address - Street 1:761 WORCESTER RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-5207
Practice Address - Country:US
Practice Address - Phone:508-872-3254
Practice Address - Fax:508-879-7910
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA221143207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AA15622OtherHARVARD PILGRIM HEALTHCAR
042472266OtherTRICARE CHAMPUS
MA2087821Medicaid
409545OtherTUFTS HEALTH PLAN
042472266OtherONE HEALTH PLAN
042472266OtherUNITED HEALTHCARE
3674630OtherCIGNA HEALTH PLAN
7756625OtherAETNA US HEALTHCARE
783997OtherMVP HEALTH CARE
J28066OtherBLUE SHIELD INDEMNITY
8900484OtherEVERCARE
A38305OtherMEDICARE B
042472266OtherPRIVATE HEALTHCARE SYSTEM
042472266OtherTHREE RIVERS
90576OtherFALLON COMMUNITY HEALTH P
J28066OtherBLUE SHIELD HMO BLUE
7756625OtherAETNA US HEALTHCARE
J28066OtherBLUE CARE ELECT
8900484OtherEVERCARE