Individual provider · NPI-1

Shyam Brahmabhatt, MD

Orthopaedic Surgery · Willow Grove, PA

NPI number1649252545
StatusActive
Last updated in NPPESMar 20, 2026

Details

NPI
1649252545
Entity type
Individual (NPI-1)
Name
Shyam Brahmabhatt
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 16, 2005
Certification date
Mar 20, 2026
Last updated
Mar 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic SurgeryMD418755PAYes

Practice location

2400 Maryland Rd
Suite 20
Willow Grove, PA 19090-1700

Phone 215-830-8700 · Fax 215-830-8715

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430

Phone 800-321-9999 · Fax 267-339-3761

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