TEJALBEN H BAKHTIANI NPI 1417316852

NPI Information

NPI: 1417316852
Provider Name: TEJALBEN H BAKHTIANI
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ST MARYS MEDICAL GROUP LLC

PECOS Registration: Yes

Address:
100 ST MARYS EPWORTH XING STE B100
NEWBURGH, IN
ZIP 47630
Phone: (812) 853-9651
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Tejalben H Bakhtiani is a family nurse practitioner in Newburgh, IN with 8 years of experience. Tejalben H Bakhtiani NPI is 1417316852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 ST MARYS EPWORTH XING STE B100
NEWBURGH, IN
ZIP 47630-497
Phone: (812) 853-9651

The NPI 1417316852 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/13/2016 and was last updated on 12/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4704324918	MICHIGAN	No
2	363LF0000X	Nurse Practitioner	Family	71011821A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F0516969	OTHER	MICHIGAN	AANP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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