Basic Information
Provider Information
NPI: 1003140484
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BHATTI
FirstName: SALMAN
MiddleName: KHALID
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 700 ACKERMAN RD STE 570
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432021579
CountryCode: US
TelephoneNumber: (614) 293-7677
FaxNumber: 6142935614
Practice Location
Address1: 1800 ZOLLINGER RD FL 2
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432212800
CountryCode: US
TelephoneNumber: 6146858800
FaxNumber: 6142930495
Other Information
ProviderEnumerationDate: 10/01/2009
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X35130819OHY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0000XMT203313PAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RM1200X125.068160ILN Allopathic & Osteopathic PhysiciansInternal MedicineMagnetic Resonance Imaging (MRI)
390200000X2009012766MON Student, Health CareStudent in an Organized Health Care Education/Training Program 

ID Information
IDTypeStateIssuerDescription
022794405OH MEDICAID


Home