Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 31178 | KY |
N | 207VX0000X | Obstetrician | 31178 | KY |
NPI | 1154366284 |
---|---|
Provider Name | Kiran Bhatia |
First Address | Cincinnati, OH 45263-5283 |
Second Address | Florence, KY 41042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2006 |
Last Update Date | 14/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64311780 | (05) | KY |
F27497 | (02) | KY |