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General NPI Number Information
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NPI Number | 1689452781
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Entity Type | Organization
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Legal Business Name | MINAL BHATIA MD INC
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 40886 GOODWIN WAY
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City | MADERA
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State | CA
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Zip | 93636-9900
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Country | US
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Telephone | 559-603-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 8839 N CEDAR AVE STE 364
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City | FRESNO
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State | CA
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Zip | 93720-1832
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PSYCHIATRIST
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Name | DR. MINAL DEEP BHATIA
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Credential | MD
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Telephone | 559-905-9061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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