Provider Demographics
NPI:1053809814
Name:BHATT, HARDIK (MD)
Entity type:Individual
Prefix:MR
First Name:HARDIK
Middle Name:
Last Name:BHATT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 GRIDER ST. (DAVID K. MILLER BUILDING- UNIVERSITY AT
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215
Mailing Address - Country:US
Mailing Address - Phone:716-898-3941
Mailing Address - Fax:716-898-3279
Practice Address - Street 1:462 GRIDER ST. (DAVID K. MILLER BUILDING- UNIVERSITY AT
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:716-898-3941
Practice Address - Fax:716-898-3279
Is Sole Proprietor?:No
Enumeration Date:2018-04-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program