Provider Demographics
NPI:1285953877
Name:BHATTI, HAMMAD AHSAN (MD,)
Entity type:Individual
Prefix:
First Name:HAMMAD
Middle Name:AHSAN
Last Name:BHATTI
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:HAMMAD
Other - Middle Name:AHSAN
Other - Last Name:BHATTI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD,
Mailing Address - Street 1:640 COLISEUM ST
Mailing Address - Street 2:APT 33204
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-5127
Mailing Address - Country:US
Mailing Address - Phone:248-808-2189
Mailing Address - Fax:
Practice Address - Street 1:601 E ROLLINS ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1248
Practice Address - Country:US
Practice Address - Phone:248-808-2189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-22
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME109453207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113851200Medicaid
FLQZ846OtherMEDICARE HF