Provider Demographics
NPI:1922041482
Name:BHATIA HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:BHATIA HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PRAKASH
Authorized Official - Middle Name:K
Authorized Official - Last Name:BHATIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-589-0552
Mailing Address - Street 1:161 E MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-3909
Mailing Address - Country:US
Mailing Address - Phone:619-589-0552
Mailing Address - Fax:619-589-0505
Practice Address - Street 1:161 E MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-3909
Practice Address - Country:US
Practice Address - Phone:619-589-0552
Practice Address - Fax:619-589-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A748480Medicaid
CAW16447Medicare ID - Type Unspecified