Provider Demographics
NPI:1912270042
Name:BHASKAR, WILLIAM CARLOS (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CARLOS
Last Name:BHASKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 EL DORADO ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4625
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:335 EL DORADO ST
Practice Address - Street 2:SUITE 3
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4625
Practice Address - Country:US
Practice Address - Phone:831-372-2882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6439208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery