Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | 277812 | NY |
Y | 208D00000X | General Practice Physician | C1-0012149 | DE |
NPI | 1174804744 |
---|---|
Provider Name | Dr. Nandini Bhat |
First Address | Rockland, DE 19732-0191 |
Second Address | Seaford, DE 19973-1577 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2011 |
Last Update Date | 25/05/2017 |