Individual
BHAVANA PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 S MAIN ST STE 100, ORANGE, CA 92868-3851
(714) 541-0101
(714) 541-0450
Mailing address
230 S MAIN ST STE 100, ORANGE, CA 92868-3851
(714) 541-0101
(714) 541-0450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8649
MD
207RH0003X
Hematology & Oncology Physician
Primary
A135301
CA
Other
Enumeration date
03/28/2011
Last updated
08/01/2021
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