Look up the most recent NPI and PECOS records

Sauda Esoof Bholat

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as SAUDA BHOLAT.

Based on the most recent information from CMS, provider Sauda Esoof Bholat is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:14 PM.

Profile Details

Provider ID
1831492081
Provider Type
Individual
Full Name
Bholat, Sauda Esoof
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
12/9/2010
Last Updated
8/29/2018

Contact Information

Practice Location

20 York St, New Haven, CT 06510

(203) 688-4242

Unlisted Fax

Mailing Location

1450 Chapel Street, Private Building Rm 318, New Haven, CT 06511-4405

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 54036 Connecticut
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 54036 Connecticut
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License A141790 California

Sauda Esoof Bholat

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Smith, Marcella Nunez

Yeboah, Benjamin

Heller, Nathan Paul

Goheen, Morgan

Banini, Bubu

El Mouhayyar, Christopher

Barelli, Peter

Festa, Natalia K.

Herbert, Peter Noel

Cigarroa, Natasha