Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A112314 | CA |
N | 2080P0202X | Pediatric Cardiologist | 112314 | CA |
Y | 2080P0202X | Pediatric Cardiologist | 308667 | LA |
NPI | 1154646131 |
---|---|
Provider Name | Dr. Ajay Kamal Bhatia |
First Address | New Orleans, LA 70118 |
Second Address | New Orleans, LA 70118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2010 |
Last Update Date | 06/09/2018 |