Individual
DR. BIPINCHANDRA VENILAL BHAGAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17290 JASMINE ST, SUITE 101, VICTORVILLE, CA 92395-7709
(760) 951-2400
(760) 951-3301
Mailing address
17290 JASMINE ST, SUITE 101, VICTORVILLE, CA 92395-7709
(760) 951-2400
(760) 951-3301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A55207
CA
207RI0200X
Infectious Disease Physician
Primary
A055207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A552070
—
CA
Enumeration date
07/19/2007
Last updated
10/27/2021
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