# AMISHA S BHAKTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790970747
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 25MP00663600 | NJ | — |
| 363A00000X | Physician Assistant | 61074 | CA | — |
| 363A00000X | Physician Assistant | PA04713 | TX | Yes |

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 05/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2035487-01 | — | TX |
| 05 | — | 2933475-01 | — | TX |