Basic Information
| Provider Information | |||||||||
| NPI: | 1811961907 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BHATNAGAR | ||||||||
| FirstName: | PIYUSH | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1959 E PARIS AVE SE | ||||||||
| Address2: | |||||||||
| City: | GRAND RAPIDS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 495466272 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6168082695 | ||||||||
| FaxNumber: | 6168082697 | ||||||||
| Practice Location | |||||||||
| Address1: | 1959 E PARIS AVE SE | ||||||||
| Address2: | |||||||||
| City: | GRAND RAPIDS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 495466272 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6168082695 | ||||||||
| FaxNumber: | 6168082697 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2006 | ||||||||
| LastUpdateDate: | 12/11/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 4301072781 | MI | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 4301072781 | MI | N | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.