Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD470733 | PA |
NPI | 1073031324 |
---|---|
Provider Name | Amit Bhattu |
First Address | Altoona, PA 16602 |
Second Address | Altoona, PA 16602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2017 |
Last Update Date | 28/05/2021 |