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NPI Code Detail

MEDICARE: DR. HETAL RAJENDRA BHAKTA

MEDICARE:  DR. HETAL RAJENDRA BHAKTA
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
1207RC0000XCardiovascular Disease PhysicianA83788CA
2207RC0001XClinical Cardiac Electrophysiology PhysicianA83788CA

General Provider Information

NPI Number : 1336248285
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HETAL RAJENDRA BHAKTA
Provider Business Mailing Address
First Line : 1100 N PALM CANYON DR STE 206
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-4426
Country : US
Telephone Number : 760-883-1600
Fax Number :
Provider Business Practice Location Address
First Line : 1100 N PALM CANYON DR STE 206
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-4426
Country : US
Telephone Number : 760-883-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 09/12/2014

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Directions to “ DR. HETAL RAJENDRA BHAKTA ” Practice Location

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