Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A61797 | CA |
NPI | 1013002328 |
---|---|
Provider Name | Dr. Perminder Bhatia |
First Address | Fresno, CA 93710 |
Second Address | Fresno, CA 93710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 05/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A617970 | (05) | CA |
A61797 | CALIFORNIA LICENSE (01) | CA |