Provider Demographics
NPI:1053408815
Name:BHATT, DINESH K (MD)
Entity type:Individual
Prefix:DR
First Name:DINESH
Middle Name:K
Last Name:BHATT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2567 HUNTCLIFF LN
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4902
Mailing Address - Country:US
Mailing Address - Phone:850-238-7720
Mailing Address - Fax:850-913-8956
Practice Address - Street 1:2567 HUNTCLIFF LN
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4902
Practice Address - Country:US
Practice Address - Phone:850-215-7117
Practice Address - Fax:850-913-8956
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2022-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME108035207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA060000493Medicare PIN