Taran Bhola, PA-C
Physician Assistant in Fort Stewart, GA. Individual provider (NPI-1).
NPI number1780120923
StatusActive
Last updated in NPPESJul 28, 2020
Details
- NPI
- 1780120923
- Entity type
- Individual (NPI-1)
- Name
- Mr. Taran Bhola
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2017
- Certification date
- Jul 28, 2020
- Last updated
- Jul 28, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
Winn Army Community Hospital1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone 124-356-9659
Mailing address
1061 Harmon AveFort Stewart, GA 31314-5641
Phone 912-435-6965
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All 90 Physician Assistant providers in Fort Stewart · All 1,299 providers in Fort Stewart
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