Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | M6048 | TX |
N | 207RC0000X | Internist - Cardiovascular Disease | M6048 | TX |
NPI | 1770668758 |
---|---|
Provider Name | Dr. Kunjan A Bhatt |
First Address | Austin, TX 78757-1016 |
Second Address | Austin, TX 78756-4080 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 26/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1858680-01 | (05) | TX |