Provider Demographics
NPI:1528342219
Name:BHATI, SULOCHANI RAO (FNP)
Entity type:Individual
Prefix:
First Name:SULOCHANI
Middle Name:RAO
Last Name:BHATI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7289 OLDE LANTERN WAY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-3561
Mailing Address - Country:US
Mailing Address - Phone:703-678-7843
Mailing Address - Fax:703-569-6896
Practice Address - Street 1:7289 OLDE LANTERN WAY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-3561
Practice Address - Country:US
Practice Address - Phone:703-678-7843
Practice Address - Fax:703-569-6896
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169050363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily