Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 35-03-6541-B | OH |
NPI | 1003810847 |
---|---|
Provider Name | Dr. Masud R Bhatti |
First Address | Philadelphia, PA 19178-6536 |
Second Address | Youngstown, OH 44514-3688 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 05/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0474660 | (05) | OH |
D31413 | (02) | OH |