Provider Demographics
NPI:1912277948
Name:BHAT, SUHEEL A (CP)
Entity Type:Individual
Prefix:MR
First Name:SUHEEL
Middle Name:A
Last Name:BHAT
Suffix:
Gender:M
Credentials:CP
Other - Prefix:MR
Other - First Name:SUHEEL
Other - Middle Name:A
Other - Last Name:BHAT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CP
Mailing Address - Street 1:332 E COMMONWEALTH AVE
Mailing Address - Street 2:332 E COMMOM WEALTH AVE
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-2017
Mailing Address - Country:US
Mailing Address - Phone:714-738-4769
Mailing Address - Fax:714-871-4816
Practice Address - Street 1:332 E COMMONWEALTH AVE
Practice Address - Street 2:332 E COMMONWEALTH AVE
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-2017
Practice Address - Country:US
Practice Address - Phone:714-738-4769
Practice Address - Fax:714-871-4816
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist