| Shyam Bhaskar, M.d. Inc | |
|
1425 Main St Delano CA 93215-1726 | |
| (661) 778-0920 | |
| (661) 778-0919 |
| Full Name | Shyam Bhaskar, M.d. Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1425 Main St, Delano, California |
| Authorized Official Name and Position | Martha Sepeda (ADMINISTRATOR) |
| Authorized Official Contact | 5596357100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shyam Bhaskar, M.d. Inc 231 W Noble Ave Visalia CA 93277-2631 Ph: (559) 635-7100 | Shyam Bhaskar, M.d. Inc 1425 Main St Delano CA 93215-1726 Ph: (661) 778-0920 |
| NPI Number | 1154679447 |
|---|---|
| Provider Enumeration Date | 08/17/2012 |
| Last Update Date | 05/02/2013 |
| Medicare PECOS PAC ID | 8022196690 |
|---|---|
| Medicare Enrollment ID | O20130716000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154679447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A74119 (California) | Primary |
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