Provider Demographics
NPI:1528290012
Name:BHATT, DARSHANKUMAR HARESHWAR
Entity type:Individual
Prefix:
First Name:DARSHANKUMAR
Middle Name:HARESHWAR
Last Name:BHATT
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 1:799 FLUSHING AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-4107
Mailing Address - Country:US
Mailing Address - Phone:718-302-4850
Mailing Address - Fax:718-302-4851
Practice Address - Street 1:799 FLUSHING AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-4107
Practice Address - Country:US
Practice Address - Phone:718-302-4850
Practice Address - Fax:718-302-4851
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053321183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist