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Individual

NITIN BHASIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1335 CYPRESS STREET,, SUITE 205, SAN DIMAS, CA 91773-3538
(909) 542-2777
(909) 394-1800
Mailing address
1335 CYPRESS STREET,, SUITE 205, SAN DIMAS, CA 91773-3538
(909) 542-2777
(909) 394-1800

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A109234
CA
207RN0300X
Nephrology Physician
Primary
A109234
CA

Other

Enumeration date
05/12/2010
Last updated
08/28/2020
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