Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 2401 | MA |
Y | 222Z00000X | Podiatrist | 2401 | MA |
N | 213EP1101X | Primary Podiatric Medicine | E5058 | CA |
NPI | 1265753990 |
---|---|
Provider Name | Dr. Inderjeet Bhamra |
First Address | Hayward, CA 94541-3911 |
Second Address | Hayward, CA 94541-3911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2010 |
Last Update Date | 29/04/2020 |