Individual
BALA KRISHNA BHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
260 STATION WAY, SUITE A, ARROYO GRANDE, CA 93420-3359
(805) 481-3652
(805) 481-1017
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8028
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A43451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447277488
CMC NPI#
CA
01
—
1780603514
NPPES
CA
05
—
FHC70593F
—
CA
01
—
HAP70593F
FAMILY PLANNING
CA
01
—
W1508
MEDICARE GROUP PLAN
CA
Enumeration date
07/19/2006
Last updated
04/21/2015
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