Provider Demographics
NPI:1184760555
Name:BHAT, NIRANJAN (MD)
Entity type:Individual
Prefix:DR
First Name:NIRANJAN
Middle Name:
Last Name:BHAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9683 HALSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1873
Mailing Address - Country:US
Mailing Address - Phone:301-776-2198
Mailing Address - Fax:
Practice Address - Street 1:DIVISION OF PEDIATRIC INFECTIOUS DISEASES
Practice Address - Street 2:200 NORTH WOLFE STREET, ROOM 3093
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-614-3917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000424922080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases