| Rajiv Ishwarlal Bhavsar, M.d., A Medical Corporation | |
|
1321 N Harbor Blvd Ste 302 Fullerton CA 92835-4131 | |
| (714) 441-0591 | |
| (714) 441-0594 |
| Full Name | Rajiv Ishwarlal Bhavsar, M.d., A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1321 N Harbor Blvd Ste 302, Fullerton, California |
| Authorized Official Name and Position | Rajiv I Bhavsar (PRESIDENT/ OWNER) |
| Authorized Official Contact | 7144410591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rajiv Ishwarlal Bhavsar, M.d., A Medical Corporation 1321 N Harbor Blvd Ste 302 Fullerton CA 92835-4131 Ph: (714) 441-0591 | Rajiv Ishwarlal Bhavsar, M.d., A Medical Corporation 1321 N Harbor Blvd Ste 302 Fullerton CA 92835-4131 Ph: (714) 441-0591 |
| NPI Number | 1144515099 |
|---|---|
| Provider Enumeration Date | 06/17/2011 |
| Last Update Date | 12/12/2011 |
| Medicare PECOS PAC ID | 4082881990 |
|---|---|
| Medicare Enrollment ID | O20120118000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144515099 | NPI | - | NPPES |
| 00C507170 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C50717 (California) | Primary |
| Provider Name | Rajiv I Bhavsar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477550648 PECOS PAC ID: 7618905456 Enrollment ID: I20050802000573 |
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