MEDICARE: RAJIV BHATIA 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
1	207R00000X	Internal Medicine Physician	G71601	CA

General Provider Information

NPI Number	:	1760565741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJIV BHATIA MD

Provider Business Mailing Address
First Line	:	1324 OXFORD ST
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94709-1425
Country	:	US
Telephone Number	:	510-229-9436
Fax Number	:

Provider Business Practice Location Address
First Line	:	9925 INTERNATIONAL BLVD
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94603-2558
Country	:	US
Telephone Number	:	510-777-1177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	07/21/2022

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