Provider Demographics
NPI:1942223342
Name:SALIGRAMA BHAT MD PA
Entity type:Organization
Organization Name:SALIGRAMA BHAT MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALIGRAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:941-629-8006
Mailing Address - Street 1:3410 TAMIAMI TRAIL
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952
Mailing Address - Country:US
Mailing Address - Phone:941-629-8006
Mailing Address - Fax:941-629-8283
Practice Address - Street 1:3410 TAMIAMI TRAIL
Practice Address - Street 2:SUITE 2
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952
Practice Address - Country:US
Practice Address - Phone:941-629-8006
Practice Address - Fax:941-629-8283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0042288207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5644Medicare ID - Type Unspecified
D84984Medicare UPIN