Provider Demographics
NPI:1700694809
Name:BHATIA PULMONARY REHABILITATION LLC
Entity type:Organization
Organization Name:BHATIA PULMONARY REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELOS REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-309-4134
Mailing Address - Street 1:2759 SUNRIDGE HEIGHTS PKWY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-5046
Mailing Address - Country:US
Mailing Address - Phone:725-755-5864
Mailing Address - Fax:702-268-7081
Practice Address - Street 1:2759 SUNRIDGE HEIGHTS PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5046
Practice Address - Country:US
Practice Address - Phone:725-755-5864
Practice Address - Fax:702-268-7081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty