Individual
DR. BHUBANESH KUMAR BHATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3605 HOSPITAL RD, SUITE H, ATWATER, CA 95301-5173
(209) 381-2000
Mailing address
3605 HOSPITAL RD, SUITE H, ATWATER, CA 95301-5173
(209) 381-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.089988
OH
208000000X
Pediatrics Physician
Primary
A101900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245436328
MEDICAL
CA
05
—
2757299
—
OH
Enumeration date
06/25/2007
Last updated
12/15/2021
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