| Jayshree S Bhatt Md Pc | |
|
9124 Columbia Ave Suite B Munster IN 46321-2907 | |
| (219) 836-0445 | |
| (219) 836-0463 |
| Full Name | Jayshree S Bhatt Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 9124 Columbia Ave, Munster, Indiana |
| Authorized Official Name and Position | Jayshree S Bhatt (PHYSICIAN) |
| Authorized Official Contact | 2198360445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jayshree S Bhatt Md Pc 9124 Columbia Ave Ste B Munster IN 46321-2907 Ph: (219) 836-0445 | Jayshree S Bhatt Md Pc 9124 Columbia Ave Suite B Munster IN 46321-2907 Ph: (219) 836-0445 |
| NPI Number | 1396942124 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 07/18/2008 |
| Medicare PECOS PAC ID | 9931267721 |
|---|---|
| Medicare Enrollment ID | O20081023000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396942124 | NPI | - | NPPES |
| 1831106186 | Other | IN | INDIVIDUAL NPI |
| 080185321 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01033072 (Indiana) | Primary |
| Provider Name | Jayshree S Bhatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831106186 PECOS PAC ID: 5698833598 Enrollment ID: I20081022000069 |
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