Doctor Name: | DR. DILEEP C BHATELEY |
NPI Number: | 1467456962 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | J0919 |
Business Practice Address: | 307 Live Oak St Marlin, TX - 766612365 |
Business Phone Number: | 2548033561 |
Business Fax Number: | 2548836066 |
Mailing Address: | Po Box 150, MARLIN |
State: | TX |
Postal Code: | 766610150 |
Phone Number: | 2548033561 |
Fax Number: | 2548836066 |
NPI Enumeration Date: | 06/13/2005 |
NPI Last Update Date: | 11/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | J0919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |