Provider Demographics
NPI:1124069323
Name:BHAGAT, URVASHI (MD)
Entity type:Individual
Prefix:DR
First Name:URVASHI
Middle Name:
Last Name:BHAGAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 LONG POINT LANE
Mailing Address - Street 2:
Mailing Address - City:ROSE VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19063
Mailing Address - Country:US
Mailing Address - Phone:610-363-1488
Mailing Address - Fax:610-363-8273
Practice Address - Street 1:930 E LANCASTER PIKE
Practice Address - Street 2:SUITE 220
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2836
Practice Address - Country:US
Practice Address - Phone:610-363-1488
Practice Address - Fax:610-363-8273
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049148L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA752146Medicare ID - Type UnspecifiedMEDICARE ID NUMBER
PAF74400Medicare UPIN