Individual provider · NPI-1

Madhav H Bhat, MD

Psychiatry & Neurology, Neurology · Fort Wayne, IN

NPI number1376540823
StatusActive
Last updated in NPPESOct 5, 2023

Details

NPI
1376540823
Entity type
Individual (NPI-1)
Name
Madhav H Bhat
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 30, 2005
Certification date
Oct 5, 2023
Last updated
Oct 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology01034970AINYes

Practice location

2510 E Dupont Rd Ste 226
Fort Wayne, IN 46825-1603

Phone 260-460-3100 · Fax 260-460-3130

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Phone 260-436-2416 · Fax 260-436-9662

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