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Individual

DR. KALEYATHODI NARAS BHAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2182 EAST ST, CONCORD, CA 94520-2012
(925) 685-4224
(925) 685-6997
Mailing address
2182 EAST ST, CONCORD, CA 94520-2012
(925) 685-4224
(925) 685-6997

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A25677
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A256770
BLUE SHIELD INDIVIDUAL PN
CA
05
ZZZ77751Z
CA
Enumeration date
04/28/2006
Last updated
12/20/2016
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