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NPI Code Detail

MEDICARE: MR. ALTAF A BHIMJI L.C.S.W

MEDICARE: MR. ALTAF A BHIMJI L.C.S.W
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
11041C0700XClinical Social WorkerLCSW21486CA

General Provider Information

NPI Number : 1275741167
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALTAF A BHIMJI L.C.S.W
Provider Business Mailing Address
First Line : PO BOX 27508
Second Line :
City : OAKLAND
State : CA
Zip : 94602-0508
Country : US
Telephone Number : 510-480-7671
Fax Number :
Provider Business Practice Location Address
First Line : 1918 BONITA AVE FL 2
Second Line :
City : BERKELEY
State : CA
Zip : 94704-1014
Country : US
Telephone Number : 510-480-7671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 08/20/2025

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