Provider Demographics
NPI:1972883254
Name:BHAT, GIFTY (MD)
Entity type:Individual
Prefix:
First Name:GIFTY
Middle Name:
Last Name:BHAT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:840 S WOOD ST STE 1203
Mailing Address - Street 2:UI HEALTH CLINICAL SCIENCES BUILDING
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4325
Mailing Address - Country:US
Mailing Address - Phone:312-996-4138
Mailing Address - Fax:312-996-8204
Practice Address - Street 1:1801 W TAYLOR ST STE 2E
Practice Address - Street 2:UI HEALTH OCC
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4795
Practice Address - Country:US
Practice Address - Phone:312-996-7416
Practice Address - Fax:312-996-8204
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2020-07-13
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Provider Licenses
StateLicense IDTaxonomies
IL036-140818207SG0201X
IL036140818208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No208000000XAllopathic & Osteopathic PhysiciansPediatrics