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NPI Code Detail

MEDICARE: DR. SUNDEEP BHATIA M.D.

MEDICARE:  DR. SUNDEEP  BHATIA  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
1207RC0000XCardiovascular Disease PhysicianA87935CA

General Provider Information

NPI Number : 1659576544
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUNDEEP BHATIA M.D.
Provider Business Mailing Address
First Line : 4940 VAN NUYS BLVD
Second Line : SUITE 200
City : SHERMAN OAKS
State : CA
Zip : 91403-1700
Country : US
Telephone Number : 818-528-1260
Fax Number : 818-528-1261
Provider Business Practice Location Address
First Line : 4940 VAN NUYS BLVD
Second Line : SUITE 200
City : SHERMAN OAKS
State : CA
Zip : 91403-1700
Country : US
Telephone Number : 818-528-1260
Fax Number : 818-528-1261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 10/23/2009

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Directions to “ DR. SUNDEEP BHATIA M.D.” Practice Location

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