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Individual

ARCHANA BHANU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6405 DAY ST, RIVERSIDE, CA 92507-0901
(951) 697-5404
(951) 697-5476
Mailing address
6405 DAY ST, RIVERSIDE, CA 92507-0901

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A48082
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ92058Z
GROUP SITE LOCATION
Enumeration date
11/23/2005
Last updated
04/10/2025
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