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Individual
DR. SHYAM BHASKAR
Active
Individual
DR. SHYAM BHASKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A74116
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
A74116
CA
208000000X
Pediatrics Physician
A74116
CA
208M00000X
Hospitalist Physician
A74116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A74116
STATE LICENSE
CA
Enumeration date
04/10/2006
Last updated
03/28/2023
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