Basic Information
Provider Information
NPI: 1164839965
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BHATTARAI
FirstName: BIKASH
MiddleName:  
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Mailing Information
Address1: 785 5TH AVE STE 3
Address2:  
City: CHAMBERSBURG
State: PA
PostalCode: 172014232
CountryCode: US
TelephoneNumber: 7172639555
FaxNumber: 7177096529
Practice Location
Address1: 601 NORLAND AVE STE 100
Address2:  
City: CHAMBERSBURG
State: PA
PostalCode: 172014235
CountryCode: US
TelephoneNumber: 7172641600
FaxNumber: 7172646319
Other Information
ProviderEnumerationDate: 07/14/2014
LastUpdateDate: 07/21/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 07/21/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RS0012XFB7330450PAN Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
207RP1001XFB7330450PAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207R00000XFB7330450PAN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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