Organization
JOYDIP BHATTACHARYA, D.O., MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOYDIP BHATTACHARYA D.O. (PRESIDENT)
(831) 454-0599
Entity
Organization
Contact information
Practice address
1575 SOQUEL DR # B, SANTA CRUZ, CA 95065-1700
(831) 454-0599
(831) 454-9157
Mailing address
1575 SOQUEL DR # B, SANTA CRUZ, CA 95065-1700
(831) 454-0599
(831) 454-9157
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20A8773
CA
2084N0600X
Clinical Neurophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX87730
—
CA
Enumeration date
08/29/2006
Last updated
09/29/2010
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