Provider Demographics
NPI:1508341116
Name:BHATIA, SHARMILA DMELLO
Entity Type:Individual
Prefix:MRS
First Name:SHARMILA
Middle Name:DMELLO
Last Name:BHATIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 LAS LOMAS WAY
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-4222
Mailing Address - Country:US
Mailing Address - Phone:925-262-3506
Mailing Address - Fax:
Practice Address - Street 1:137 LAS LOMAS WAY
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-4222
Practice Address - Country:US
Practice Address - Phone:925-262-3506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-28
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist