Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 003129 | NY |
Y | 2080P0202X | Pediatric Cardiologist | 275548 | NY |
NPI | 1275711723 |
---|---|
Provider Name | Dr. Puneet Bhatla |
First Address | New York, NY 10016 |
Second Address | New York, NY 10029-6574 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2008 |
Last Update Date | 23/05/2016 |