Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 036114996 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 036114996 | IL |
NPI | 1841290244 |
---|---|
Provider Name | Geetha Bhat |
First Address | Oak Lawn, IL 60453-2600 |
Second Address | Tampa, FL 33606-2707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 02/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C03181 | (02) | KY |