Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 066256 | GA |
N | 111NI0900X | Internist | 066256 | GA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 066256 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | 066256 | GA |
NPI | 1679733026 |
---|---|
Provider Name | Kunal Nikhil Bhatt |
First Address | Atlanta, GA 30322-1064 |
Second Address | Atlanta, GA 30322-1740 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2008 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003110496 | (05) | GA |