Provider Demographics
NPI:1972347052
Name:BHATTI, RICHARD SHAHZAD
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:SHAHZAD
Last Name:BHATTI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 SAND CREEK RD APT 328
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-2724
Mailing Address - Country:US
Mailing Address - Phone:518-423-1998
Mailing Address - Fax:
Practice Address - Street 1:422 SAND CREEK RD APT 328
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-2724
Practice Address - Country:US
Practice Address - Phone:518-423-1998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver