11D2048659 CLIA NUMBER - DEEPTI BHASIN, MD, INC

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Laboratory Demographics

CLIA Number: 11D2048659

Facility Name: DEEPTI BHASIN, MD, INC

Facility Address:
402 OSIGIAN BLVD, SUITE 400
WARNER ROBINS, GA
ZIP 31088
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Facility Phone Number: 478 333-3058

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285717942

Taxonomy: 2084P0804X - Psychiatry & Neurology
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

CLIA Record

Field Name	Field Value
CLIA Number	11D2048659
LAB Type	Physician Office
Facility Name	DEEPTI BHASIN, MD, INC
Street	402 OSIGIAN BLVD, SUITE 400
City	WARNER ROBINS
State	GA
ZIP	31088
Phone	478 333-3058
CertificateType	4
CertificateEffectiveDate	10/22/2022
CertificateExpirationDate	10/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024