Provider Demographics
NPI:1851449706
Name:BHATT, MANISHA K (MD)
Entity Type:Individual
Prefix:
First Name:MANISHA
Middle Name:K
Last Name:BHATT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:501 S IDAHO ST
Mailing Address - Street 2:SUITE 260
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-6047
Mailing Address - Country:US
Mailing Address - Phone:562-501-1720
Mailing Address - Fax:562-501-1198
Practice Address - Street 1:501 S IDAHO ST
Practice Address - Street 2:SUITE 190
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-6047
Practice Address - Country:US
Practice Address - Phone:562-690-0400
Practice Address - Fax:562-501-1198
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2016-11-10
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Provider Licenses
StateLicense IDTaxonomies
CAA69238208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics