Provider Demographics
NPI:1790200657
Name:BHATT, ABHIRAJ K (BDS, DDS)
Entity Type:Individual
Prefix:DR
First Name:ABHIRAJ
Middle Name:K
Last Name:BHATT
Suffix:
Gender:M
Credentials:BDS, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4104 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1014
Mailing Address - Country:US
Mailing Address - Phone:661-747-8973
Mailing Address - Fax:661-327-4733
Practice Address - Street 1:4104 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD (AND VICINITY)
Practice Address - State:CA
Practice Address - Zip Code:93309
Practice Address - Country:US
Practice Address - Phone:661-747-8973
Practice Address - Fax:661-327-4733
Is Sole Proprietor?:No
Enumeration Date:2017-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101835122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist