Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RX0202X | Medical Oncology | S2236 | TX |
Y | 2084N0400X | Neurologist | 75248 | WI |
N | 2084N0402X | Child Neurologist | 75248 | WI |
NPI | 1225394802 |
---|---|
Provider Name | Dr. Ankush Bhatia |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-4217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2012 |
Last Update Date | 21/09/2021 |