Basic Information
Provider Information
NPI: 1952544603
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BHATT
FirstName: HIMANI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 12023
Address2:  
City: NEWARK
State: NJ
PostalCode: 071015023
CountryCode: US
TelephoneNumber: 2124272666
FaxNumber: 2122896929
Practice Location
Address1: 1 GUSTAVE L LEVY PL
Address2: ANESTHESIOLOGY - BOX 1010
City: NEW YORK
State: NY
PostalCode: 100296500
CountryCode: US
TelephoneNumber: 8006274470
FaxNumber: 4129375710
Other Information
ProviderEnumerationDate: 04/10/2009
LastUpdateDate: 06/20/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X036.126026ILN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X262933-1NYY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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