Individual
DR. AJAY KAMAL BHATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 966-5855
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A112314
CA
2080P0202X
Pediatric Cardiology Physician
308667
LA
2080P0202X
Pediatric Cardiology Physician
Primary
A112314
CA
Other
Enumeration date
04/01/2010
Last updated
09/18/2024
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