Provider Demographics
NPI:1174594485
Name:BHATT, MARGI A (MD)
Entity type:Individual
Prefix:
First Name:MARGI
Middle Name:A
Last Name:BHATT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 E 3900 S
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-1202
Mailing Address - Country:US
Mailing Address - Phone:801-261-9651
Mailing Address - Fax:801-261-9656
Practice Address - Street 1:1160 E 3900 S
Practice Address - Street 2:SUITE 1200
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124
Practice Address - Country:US
Practice Address - Phone:801-261-9651
Practice Address - Fax:801-261-9656
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-425517207R00000X
UT6404977-1205207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001122750003Medicaid
PA001122750003Medicaid
UT000060548Medicare PIN
PAI30084Medicare UPIN
UTI30084Medicare UPIN