Provider Demographics
NPI:1144338658
Name:BHATIA, ABHIJIT S (MD)
Entity type:Individual
Prefix:
First Name:ABHIJIT
Middle Name:S
Last Name:BHATIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3333 N CALVERT ST
Mailing Address - Street 2:STE 575
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-6515
Mailing Address - Country:US
Mailing Address - Phone:410-247-7500
Mailing Address - Fax:410-235-5421
Practice Address - Street 1:3333 N CALVERT ST
Practice Address - Street 2:STE 575
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-6515
Practice Address - Country:US
Practice Address - Phone:410-247-7500
Practice Address - Fax:410-235-5421
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD62248207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD419716000Medicaid
MD187366YLJMedicare PIN
I10146Medicare UPIN