Provider Demographics
NPI:1023865508
Name:BHATT, KESHA BHAVESHKUMAR
Entity type:Individual
Prefix:
First Name:KESHA
Middle Name:BHAVESHKUMAR
Last Name:BHATT
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:KESHA
Other - Middle Name:
Other - Last Name:BHATT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:100 EILEEN DONDERO FOLEY AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801
Mailing Address - Country:US
Mailing Address - Phone:303-563-9690
Mailing Address - Fax:
Practice Address - Street 1:333 BORTHWICK AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801
Practice Address - Country:US
Practice Address - Phone:603-559-4129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-02
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program