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Individual

LAURA KEARIN BHATIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
ST. JOHN'S REGIONAL MEDICAL CENTER- 1600 ROSE AVENUE, OXNARD, CA 93030
(805) 485-2400
(805) 485-3025
Mailing address
1310 KENSINGTON AVE, OSHKOSH, WI 54902-6245
(920) 279-5205

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA59858
CA
363AS0400X
Surgical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1152514
NCCPA
Enumeration date
06/12/2018
Last updated
01/24/2022
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