Pinakin G. Bhakta M.D.,P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

27723 Issued in AZ

Legal business name

PINAKIN G. BHAKTA M.D.,P.C.

Practice address

17100 N 67TH Ave
Suite 602
Glendale, AZ 85308-3605

Phone

(602) 978-5005

Fax

(602) 978-1115

NPI assigned

Feb 18, 2011

Organization subpart

Yes

Parent organization

PINAKIN G. BHAKTA M.D.,P.C.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sheelaben H. Bhakta

Title

Office Manager

Phone

(602) 978-5005

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Part of

Pinakin G Bhakta MDPC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pinakin G Bhakta, M.D.

  • Internal Medicine Physician
  • Glendale, AZ
  • NPI 1760438618
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1184921645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 N. 67TH AVE.",
            "address_2": "SUITE 602",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083605",
            "telephone_number": "602-978-5005",
            "fax_number": "602-978-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 N 67TH AVE",
            "address_2": "SUITE 602",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083605",
            "telephone_number": "602-978-5005",
            "fax_number": "602-978-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINAKIN G. BHAKTA M.D.,P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINAKIN G. BHAKTA M.D.,P.C.",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "SHEELABEN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-978-5005"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "27723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "485434",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Ann Piehota, PT
• Lucas Umberto Pieraccini
• Josephine K Pierce, LISAC
• Elizabeth Pietro, R. N.
• Arun Pillai, M.D.
• Daiana Pineda
• Esther Pineda, LCSW
• Mary Margaret Pinelo, OTD, OTR/L, CLT-LANA
• Gabrielle Irina Pines
• Pinnacle Compounding Pharmacy (Pinnacle Community Pharmacy)

• Internal Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.