Healthcare Provider Details

I. General information

NPI: 1326533753
Provider Name (Legal Business Name): SABITA BHATTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2018
Last Update Date: 08/13/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E SCHOOL AVE
VISALIA CA
93291-5032
US

IV. Provider business mailing address

2819 W HAROLD AVE
VISALIA CA
93291-2672
US

V. Phone/Fax

Practice location:
  • Phone: 87-796-0342
  • Fax:
Mailing address:
  • Phone: 929-387-6054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA173377
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: