Provider Demographics
NPI:1417423633
Name:BITTHAL DAS MAHESHWARI MD PROF CORP
Entity Type:Organization
Organization Name:BITTHAL DAS MAHESHWARI MD PROF CORP
Other - Org Name:BITHHAL D MAHESHWARI M.D. PROF CORP.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:BITTHAL
Authorized Official - Middle Name:DAS
Authorized Official - Last Name:MAHESHWARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-735-1511
Mailing Address - Street 1:613 S HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-2254
Mailing Address - Country:US
Mailing Address - Phone:951-735-1511
Mailing Address - Fax:951-735-3566
Practice Address - Street 1:613 S HOWARD ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-2254
Practice Address - Country:US
Practice Address - Phone:951-735-1511
Practice Address - Fax:951-735-3566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty