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NPI Code Detail

MEDICARE: JAGDISH SURENDRA BHATT MD

MEDICARE: JAGDISH SURENDRA BHATT MD
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
12080N0001XNeonatal-Perinatal Medicine PhysicianA43333CA

General Provider Information

NPI Number : 1497710271
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAGDISH SURENDRA BHATT MD
Provider Business Mailing Address
First Line : 8914 YUBA RIVER AVE
Second Line :
City : FOUNTAIN VALLEY
State : CA
Zip : 92708-6347
Country : US
Telephone Number : 714-962-7910
Fax Number :
Provider Business Practice Location Address
First Line : 1050 LINDEN AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-3321
Country : US
Telephone Number : 562-491-9866
Fax Number : 562-491-7966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 03/23/2023

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