Provider Demographics
NPI:1609138411
Name:RATHOD-BHATT, JARNA (DPM)
Entity type:Individual
Prefix:
First Name:JARNA
Middle Name:
Last Name:RATHOD-BHATT
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:JARNA
Other - Middle Name:
Other - Last Name:RATHOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:8135 FOREST LN # 515057
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2472
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3600 MATLOCK RD
Practice Address - Street 2:SUITE 104
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-3679
Practice Address - Country:US
Practice Address - Phone:817-460-1300
Practice Address - Fax:817-460-1307
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2168213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery