Poushali Bhattacharjee, M.D.
Internal Medicine in Park City, UT. Individual provider (NPI-1).
NPI number1811200629
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1811200629
- Entity type
- Individual (NPI-1)
- Name
- Poushali Bhattacharjee
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2010
- Certification date
- Feb 21, 2025
- Last updated
- Feb 26, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- 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 |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 36135480 | IL | Yes |
| 208M00000X | Hospitalist | 036-135480 | IL |
Practice location
1743 S Sidewinder Drive Unit 114Park City, UT 84060
Phone 307-840-9834
Mailing address
5841 S Maryland AveChicago, IL 60637-1447
Other practice locations
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