Provider Demographics
NPI:1659536795
Name:PEELA, BHASKARI (MD)
Entity Type:Individual
Prefix:
First Name:BHASKARI
Middle Name:
Last Name:PEELA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:39141 CIVIC CENTER DR
Mailing Address - Street 2:SUITE 315
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-5818
Mailing Address - Country:US
Mailing Address - Phone:510-248-1000
Mailing Address - Fax:510-608-6055
Practice Address - Street 1:39500 FREMONT BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2101
Practice Address - Country:US
Practice Address - Phone:510-248-1800
Practice Address - Fax:510-797-0523
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2014-12-03
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Provider Licenses
StateLicense IDTaxonomies
CAA103623208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics