| Joydip Bhattacharya, D.o., Medical Corporation | |
|
1575 Soquel Dr # B Santa Cruz CA 95065-1700 | |
| (831) 454-0599 | |
| (831) 454-9157 |
| Full Name | Joydip Bhattacharya, D.o., Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1575 Soquel Dr # B, Santa Cruz, California |
| Authorized Official Name and Position | Joydip Bhattacharya (PRESIDENT) |
| Authorized Official Contact | 8314540599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joydip Bhattacharya, D.o., Medical Corporation 1575 Soquel Dr # B Santa Cruz CA 95065-1700 Ph: (831) 454-0599 | Joydip Bhattacharya, D.o., Medical Corporation 1575 Soquel Dr # B Santa Cruz CA 95065-1700 Ph: (831) 454-0599 |
| NPI Number | 1801905690 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 09/29/2010 |
| Medicare PECOS PAC ID | 7517964273 |
|---|---|
| Medicare Enrollment ID | O20061023000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801905690 | NPI | - | NPPES |
| 00AX87730 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 20A8773 (California) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Secondary |
| Provider Name | Joydip Bhattacharya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245277714 PECOS PAC ID: 8325038060 Enrollment ID: I20040514000895 |
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