Individual
KAWALJEET K BHATIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
624 EAST 10TH ST, SUITE E PMB 624, GILROY, CA 95020
(408) 848-5522
(408) 848-2369
Mailing address
7888 WREN AVE STE C137, GILROY, CA 95020-4965
(408) 848-5522
(408) 848-2369
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A42050
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A420500
—
CA
Enumeration date
11/06/2006
Last updated
07/08/2007
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