SHYAM BHASKAR M.D. INC NPI 1154679447

NPI Information

NPI: 1154679447
Provider Name: SHYAM BHASKAR, M.D. INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2020121

Address:
1425 MAIN ST
DELANO, CA
ZIP 93215
Phone: (661) 778-0920
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SHYAM BHASKAR, M.D. INC is a primary care clinic center in Delano, CA. SHYAM BHASKAR, M.D. INC NPI is 1154679447. The provider is registered as an organization entity type.

The provider's business location address is:

1425 MAIN ST
DELANO, CA
ZIP 93215-726
Phone: (661) 778-0920
Fax: (661) 778-0919

The provider's authorized official is Martha Sepeda .
The authorized official title is Administrator and has the following contact phone number (559) 635-7100.

The CLIA number assigned to this NPI record is 05D2020121 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2012 and was last updated on 5/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A74119	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H89399	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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