Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | C10005468 | DE |
NPI | 1164405361 |
---|---|
Provider Name | Dr. Rooparani M Bhat |
First Address | Hockessin, DE 19707-2093 |
Second Address | Hockessin, DE 19707-2093 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 30/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G83866 | (02) | DE |