Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 228837 | NY |
N | 111NI0900X | Internist | 228837 | NY |
N | 207R00000X | Internist | M9859 | TX |
N | 111NI0900X | Internist | M9859 | TX |
Y | 207RP1001X | Pulmonary Disease | M9859 | TX |
N | 207RS0012X | Sleep Medicine | M9859 | TX |
NPI | 1023190055 |
---|---|
Provider Name | Ahmed S Bhatti |
First Address | Granbury, TX 76048-5689 |
Second Address | Granbury, TX 76049-7616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 10/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1255569471 | GROUP NPI NUMBER (01) | TX |
206878502 | (05) | TX |
228837 | NEW YORK STATE LISENCE (01) | NY |
BB8386814 | DEA NUMBER (01) | NY |
M9859 | PHYSICIAN PERMIT (01) | TX |