Provider Demographics
NPI:1558155028
Name:BHAT, MEGHANA GANAPATI
Entity type:Individual
Prefix:
First Name:MEGHANA
Middle Name:GANAPATI
Last Name:BHAT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3945 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-3621
Mailing Address - Country:US
Mailing Address - Phone:937-245-1106
Mailing Address - Fax:
Practice Address - Street 1:3945 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3621
Practice Address - Country:US
Practice Address - Phone:937-245-1106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program