Provider Demographics
NPI:1437883527
Name:GULZAR BHATTI, NAMRATA I (DDS)
Entity type:Individual
Prefix:DR
First Name:NAMRATA
Middle Name:
Last Name:GULZAR BHATTI
Suffix:I
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6737 AYLESHIRE DR
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-3895
Mailing Address - Country:US
Mailing Address - Phone:216-789-9581
Mailing Address - Fax:
Practice Address - Street 1:5500 BROADVIEW RD STE 100
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-1606
Practice Address - Country:US
Practice Address - Phone:216-789-9581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0276561223G0001X
OHRES.0044271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice