Individual
AMARDEEP SINGH BHATTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 29TH ST STE 480, SACRAMENTO, CA 95816-5173
(916) 733-3777
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A169876
CA
207Q00000X
Family Medicine Physician
LL51201
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL51201
BOARD OF MEDICAL EXAMINERS
SC
Enumeration date
07/06/2017
Last updated
09/01/2020
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