Provider Information for 1720707334
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MISHEL BHATTI
Sex: Female
NPI: 1720707334
Last Updated: 2022-08-25
Certification Date: 2022-08-25
Certification Date: 2022-08-25
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1720707334 | ||||||||
| Enumeration Date | 2022-08-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 100 LUNA PARK DR APT 140 ALEXANDRIA, VA 22305-3152 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 100 LUNA PARK DR APT 140 ALEXANDRIA, VA 22305-3152 United States Phone: 817-818-8360 | Fax: | ||||||||
| Secondary Practice Address(es) | 10644 SAPONI DR | ||||||||
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