| Pranav Bhatt, Md, Pllc | |
|
3129 College St Ste 100 Beaumont TX 77701-4682 | |
| (409) 239-5605 | |
| Not Available |
| Full Name | Pranav Bhatt, Md, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3129 College St Ste 100, Beaumont, Texas |
| Authorized Official Name and Position | Pranav Bhatt (PROVIDER) |
| Authorized Official Contact | 4092395605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pranav Bhatt, Md, Pllc 3410 Esplanade Beaumont TX 77707-3667 Ph: (409) 239-5605 | Pranav Bhatt, Md, Pllc 3129 College St Ste 100 Beaumont TX 77701-4682 Ph: (409) 239-5605 |
| NPI Number | 1407556871 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Medicare PECOS PAC ID | 2860866415 |
|---|---|
| Medicare Enrollment ID | O20230321002767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407556871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pranav Bhatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619394756 PECOS PAC ID: 1355612029 Enrollment ID: I20170731001611 |
| Provider Name | Christie R Shoemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629614078 PECOS PAC ID: 3678900164 Enrollment ID: I20200221002323 |
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