Individual
DR. SHIV BHANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6733 CANYON HILL DR, RIVERSIDE, CA 92506-5672
(951) 780-1506
Mailing address
6733 CANYON HILL DR, RIVERSIDE, CA 92506-5672
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A133806
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/17/2012
Last updated
04/05/2024
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