Individual
SURUCHI BHATIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A60704
CA
2080P0205X
Pediatric Endocrinology Physician
Primary
A60704
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A60704
STATE LICENSE
CA
Enumeration date
09/13/2006
Last updated
06/02/2014
Update your record
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