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NPI Code Detail

MEDICARE: DR. PRIYA BHAKHRI TANDON M.D.

MEDICARE: DR. PRIYA BHAKHRI TANDON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianA123594CA

General Provider Information

NPI Number : 1124372347
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRIYA BHAKHRI TANDON M.D.
Provider Business Mailing Address
First Line : 6001 E WASHINGTON BLVD STE 100
Second Line :
City : COMMERCE
State : CA
Zip : 90040-2451
Country : US
Telephone Number : 562-928-9600
Fax Number :
Provider Business Practice Location Address
First Line : 6001 E WASHINGTON BLVD STE 100
Second Line :
City : COMMERCE
State : CA
Zip : 90040-2451
Country : US
Telephone Number : 562-928-9600
Fax Number : 323-477-1738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2012
Last Update Date : 01/12/2026

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