Individual
RAJESHKUMAR MANSUKHLAL BHALODIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3460 E LA PALMA AVE, ANAHEIM, CA 92806-2020
(714) 644-2485
(714) 644-2435
Mailing address
3460 E LA PALMA AVE, ANAHEIM, CA 92806-2020
(714) 644-2418
(714) 644-2435
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A112565
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12121151
CAQH
CA
01
—
DG529YD
MEDICARE SO. CA
CA
Enumeration date
06/05/2007
Last updated
12/08/2021
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