1922393388 NPI number — DR. ABESH KUMAR BHATTACHARJEE M.D., PH.D.

Table of content: VALERIE W MOSS M.S.OTR/L (NPI 1477929842)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922393388 NPI number — DR. ABESH KUMAR BHATTACHARJEE M.D., PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BHATTACHARJEE
Provider First Name:
ABESH
Provider Middle Name:
KUMAR
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D., PH.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922393388
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/10/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9500 GILMAN DR
Provider Second Line Business Mailing Address:
ROOM # 9116A
Provider Business Mailing Address City Name:
LA JOLLA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92093-9116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
858-534-4040
Provider Business Mailing Address Fax Number:
858-822-0231

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9500 GILMAN DR
Provider Second Line Business Practice Location Address:
ROOM # 9116A
Provider Business Practice Location Address City Name:
LA JOLLA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92093-9116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-534-4040
Provider Business Practice Location Address Fax Number:
858-822-0231
Provider Enumeration Date:
06/14/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  A122409 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com