Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 031138 | GA |
NPI | 1073608899 |
---|---|
Provider Name | Dr. Annapurna Bhat |
First Address | Stockbridge, GA 30281-7373 |
Second Address | Stockbridge, GA 30281-7373 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 30/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00471259 A | (05) | GA |
32 06116 | UNITED HEALTHCARE (01) | GA |
4469392 | AETNA (01) | GA |
581954947001 | CIGNA (01) | GA |
581985 | BC/BS OF GA (01) | GA |
81831 | CIGNA (01) | GA |
F 01473 | (02) | GA |