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NPI Code Detail

MEDICARE: MEERA BHAGAUTI M.A.

MEDICARE: MEERA BHAGAUTI M.A.
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1871715821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEERA BHAGAUTI M.A.
Provider Business Mailing Address
First Line : 3839 GOLDWYN TER
Second Line :
City : CULVER CITY
State : CA
Zip : 90232-3103
Country : US
Telephone Number : 626-442-4177
Fax Number : 626-442-4498
Provider Business Practice Location Address
First Line : 11041 VALLEY BLVD
Second Line :
City : EL MONTE
State : CA
Zip : 91731-2516
Country : US
Telephone Number : 626-442-4177
Fax Number : 626-442-4498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 07/08/2007

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Directions to “ MEERA BHAGAUTI M.A.” Practice Location

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