Provider Demographics
NPI:1497710271
Name:BHATT, JAGDISH SURENDRA (MD)
Entity Type:Individual
Prefix:
First Name:JAGDISH
Middle Name:SURENDRA
Last Name:BHATT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8914 YUBA RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6347
Mailing Address - Country:US
Mailing Address - Phone:714-962-7910
Mailing Address - Fax:
Practice Address - Street 1:1050 LINDEN AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3321
Practice Address - Country:US
Practice Address - Phone:562-491-9866
Practice Address - Fax:562-491-7966
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2023-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA433332080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine