Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | A82899 | CA |
NPI | 1730653080 |
---|---|
Provider Name | Nihar Bhakta |
First Address | Carlsbad, CA 92009-8483 |
Second Address | Carlsbad, CA 92009-8483 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2019 |
Last Update Date | 18/01/2019 |