Basic Information
| Provider Information | |||||||||
| NPI: | 1932169463 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BHAT | ||||||||
| FirstName: | ABDUL | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 761 WORCESTER RD | ||||||||
| Address2: | |||||||||
| City: | FRAMINGHAM | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017015207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5088723254 | ||||||||
| FaxNumber: | 5088797910 | ||||||||
| Practice Location | |||||||||
| Address1: | 761 WORCESTER RD | ||||||||
| Address2: | |||||||||
| City: | FRAMINGHAM | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017015207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5088723254 | ||||||||
| FaxNumber: | 5088797910 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2006 | ||||||||
| LastUpdateDate: | 10/13/2016 | ||||||||
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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 | 221143 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | AA15622 | 01 | HARVARD PILGRIM HEALTHCAR | OTHER | 042472266 | 01 | TRICARE CHAMPUS | OTHER | 2087821 | 05 | MA | MEDICAID | 409545 | 01 | TUFTS HEALTH PLAN | OTHER | 042472266 | 01 | ONE HEALTH PLAN | OTHER | 042472266 | 01 | UNITED HEALTHCARE | OTHER | 3674630 | 01 | CIGNA HEALTH PLAN | OTHER | 7756625 | 01 | AETNA US HEALTHCARE | OTHER | 783997 | 01 | MVP HEALTH CARE | OTHER | J28066 | 01 | BLUE SHIELD INDEMNITY | OTHER | 8900484 | 01 | EVERCARE | OTHER | A38305 | 01 | MEDICARE B | OTHER | 042472266 | 01 | PRIVATE HEALTHCARE SYSTEM | OTHER | 042472266 | 01 | THREE RIVERS | OTHER | 90576 | 01 | FALLON COMMUNITY HEALTH P | OTHER | J28066 | 01 | BLUE SHIELD HMO BLUE | OTHER |