Provider Demographics
NPI:1447462809
Name:BHATT, HARIT K (MD)
Entity type:Individual
Prefix:MR
First Name:HARIT
Middle Name:K
Last Name:BHATT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6320 W 159TH STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452
Mailing Address - Country:US
Mailing Address - Phone:708-687-2222
Mailing Address - Fax:708-687-3829
Practice Address - Street 1:6320 W 159TH STREET
Practice Address - Street 2:SUITE A
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452
Practice Address - Country:US
Practice Address - Phone:708-687-2222
Practice Address - Fax:708-687-3829
Is Sole Proprietor?:No
Enumeration Date:2007-05-05
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036120644207WX0107X
IL036-120644207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036120644Medicaid