Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | A88819 | CA |
N | 208000000X | Pediatrician | A88819 | CA |
N | 2080P0203X | Pediatric Critical Care Doctor | A88819 | CA |
NPI | 1295761229 |
---|---|
Provider Name | Dr. Rajesh K. Bhat |
First Address | Orange, CA 92856-0628 |
Second Address | Orange, CA 92868-3849 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 25/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A888190 | (05) | CA |
I23746 | (02) | CA |