Provider Demographics
NPI:1962403410
Name:BHATT, NARESH INDRAVADAN (MD)
Entity type:Individual
Prefix:MR
First Name:NARESH
Middle Name:INDRAVADAN
Last Name:BHATT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:109 LOPEZ DR
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-9129
Mailing Address - Country:US
Mailing Address - Phone:724-430-9090
Mailing Address - Fax:724-430-1998
Practice Address - Street 1:60-B LEBANON AVENUE
Practice Address - Street 2:CONTINENTAL PLAZA
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-4190
Practice Address - Country:US
Practice Address - Phone:724-430-9090
Practice Address - Fax:724-430-1998
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA019111-E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA37191Medicare UPIN