Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 25MA08382600 | NJ |
NPI | 1003898438 |
---|---|
Provider Name | Vishwanath Bhat |
First Address | Camden, NJ 08103-1088 |
Second Address | Camden, NJ 08103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2005 |
Last Update Date | 03/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1866863/7863785 | AETNA HMO/PPO (01) | NJ |
3K8431 | HEALTHNET, INC (01) | NJ |
60040926 | HORIZON NJ HEALTH (01) | NJ |