Individual
GEETHA NAGARAJ BHASKARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 949-5000
(661) 949-5971
Mailing address
101 S 1ST ST, 1000, BURBANK, CA 91502-1938
(818) 845-6206
(818) 845-9774
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A36890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A368900
BLUE SHIELD
CA
05
—
00A368900
—
CA
Enumeration date
07/27/2006
Last updated
07/08/2007
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