Bhat, Ballambattu R

Bhat, Ballambattu R is an individual health care provider with primary practice located at 1055 Stewart Avenue , Bethpage NY 11714-3596. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bhat, Ballambattu R can be contacted via phone (516) 938-0100.

Contact Information

Primary practice address
1055 Stewart Avenue Bethpage NY 11714-3596
Phone: (516) 938-0100
Fax: (516) 938-0120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 120968 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 120968 New York

Profile Details

NPI number 1366485930
LBN Legal business name Bhat, Ballambattu R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Sep 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366485930 NPPES
New York MEDICAID 00408613

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