Basic Information
| Provider Information | |||||||||
| NPI: | 1669636593 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BHATTI | ||||||||
| FirstName: | HUMA | ||||||||
| MiddleName: | NAUREEN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20139 HARDWOOD TER | ||||||||
| Address2: | |||||||||
| City: | ASHBURN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201472750 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5712247639 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 601 POTOMAC STATION DR NE | ||||||||
| Address2: | |||||||||
| City: | LEESBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201761816 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7038401396 | ||||||||
| FaxNumber: | 7038401397 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2008 | ||||||||
| LastUpdateDate: | 09/02/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 0101246543 | VA | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 11013214A | IN | N | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | 0101246543 | VA | N | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.