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DR. BHUBANESH KUMAR BHATTA MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1245436328

Individual Registrant:
DR. BHUBANESH KUMAR BHATTA MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3605 HOSPITAL RD SUITE H ATWATER, CA 95301-5173 US
Tel: 209-381-2000  Fax: --

Contact information for business:
3605 HOSPITAL RD SUITE H ATWATER, CA 95301-5173 US
Tel: 209-381-2000  Fax: --

Registration Information:
NPI: 1245436328
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N208000000XAllopathic & Osteopathic Physicians
Pediatrics
OH35.089988
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
CAA101900

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICAL1245436328CA01
2757299OH05




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