Provider Demographics
NPI:1285267427
Name:BHATTI, NABIL (PHARMD)
Entity type:Individual
Prefix:
First Name:NABIL
Middle Name:
Last Name:BHATTI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22990 KING RD STE B
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48183-1025
Mailing Address - Country:US
Mailing Address - Phone:734-673-9263
Mailing Address - Fax:734-785-8965
Practice Address - Street 1:22990 KING RD STE B
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN TWP
Practice Address - State:MI
Practice Address - Zip Code:48183-1025
Practice Address - Country:US
Practice Address - Phone:734-673-9263
Practice Address - Fax:734-785-8965
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302036357183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist