Basic Information
Provider Information
NPI: 1437883527
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GULZAR BHATTI
FirstName: NAMRATA
MiddleName:  
NamePrefix: DR.
NameSuffix: I
Credential: DDS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2500 METROHEALTH DR
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441091900
CountryCode: US
TelephoneNumber: 2167787800
FaxNumber:  
Practice Location
Address1: 3701 LORAIN AVE
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441133707
CountryCode: US
TelephoneNumber: 2167784725
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/13/2022
LastUpdateDate: 07/13/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/13/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1223G0001XRES.004427OHY Dental ProvidersDentistGeneral Practice

No ID Information.


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