DR. SHAMIK BHADRA (NPI# 1114910908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114910908 |
| Entity Type | Individual |
| Full Name | DR. SHAMIK BHADRA |
| Credential | MD |
| Practice Address |
3114 W Beverly Blvd Montebello CA 90640 |
| Mailing Address |
2149 E Warner Rd Ste 102 Tempe AZ 85284-3495 |
| Practice Telephone | 3237263868 |
| Practice Fax Number | 3237263870 |
| Mailing Telephone | 4803930309 |
| Mailing Fax Number | 4806106189 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A124360 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | WA124360 | 05 | |
| AZ | 949662 | 05 |
| Street Address |
3114 W BEVERLY BLVD |
| City | MONTEBELLO |
| State | CA |
| Zip Code | 90640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780218 | Lain L Lee | Nurse Practitioner | 3114 W Beverly Blvd, Montebello, CA 90640-2217 | 2020-05-04 |
| 1477931186 | Elisa Park | Internal Medicine | 3114 W Beverly Blvd, Montebello, CA 90640-2217 | 2015-05-13 |
| 1811338270 | Internal Medicine Mds Corp | Internal Medicine | 3114 W Beverly Blvd, Montebello, CA 90640-2217 | 2013-07-15 |
| 1053657684 | Maybel Min Tan | Internal Medicine | 3114 W Beverly Blvd, Montebello, CA 90640-2217 | 2012-12-31 |
| 1497048672 | Lathika Raakesh | Internal Medicine | 3114 W Beverly Blvd, Montebello, CA 90640 | 2011-05-23 |
| 1912223850 | Kay Khine Kyaw | Specialist | 3114 W Beverly Blvd, Montebello, CA 90640 | 2010-04-16 |
| 1568659936 | Elder Mendoza | Physician Assistant | 3114 W Beverly Blvd, Montebello, CA 90640-2217 | 2007-10-01 |
| 1538200860 | Soma Barua | Family Medicine | 3114 W Beverly Blvd, Montebello, CA 90640-2217 | 2007-02-09 |
| 1295894871 | Shahe Pashayan | Internal Medicine | 3114 W Beverly Blvd, Montebello, CA 90640-2217 | 2006-12-08 |
| 1083649651 | L.a. County Nephrology Associates A Medical Corporation | Specialist | 3114 W Beverly Blvd, Montebello, CA 90640-2217 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242901 | Marie-christine Wiltord | Marriage & Family Therapist | 1447 W. Beverly Blvd., Montebello, CA 90640 | 2020-07-08 |
| 1366093668 | Ana Lesly Tavira-nava | Student in an Organized Health Care Education/Training Program | 3316 W. Beverly Blvd., Montebello, CA 90640 | 2019-09-27 |
| 1952803256 | America Alaniz | Marriage & Family Therapist | 3524 1/4 W. Beverly Blvd., Montebello, CA 90640 | 2018-03-02 |
| 1669987913 | Tender Loving Hospice Care, Inc. | Hospice Care, Community Based | 3528 W Beverly Blvd, Suite D, Montebello, CA 90640 | 2017-12-08 |
| 1518472869 | Healing Angels Nursing Services, Inc. | Home Health | 3538 W Beverly Blvd, Suite C, Montebello, CA 90640 | 2017-12-08 |
| 1427579143 | Paul Gonzales | Specialist/Technologist | 1525 Via Palermo, Montebello, CA 90640 | 2017-07-03 |
| 1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
| 1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1992165815 | Hope Artificial Limb & Brace,llc | Prosthetic/Orthotic Supplier | 2609 W. Beverly Blvd #3, Montebello, CA 90640 | 2016-03-04 |
| Find all providers in zip 90640 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659634897 | Nadene Beth Gillule | Specialist | 11 Linda Dr, Montebello, NY 10901-3003 | 2012-06-22 |
| 1427279629 | John Paul Rivera | Specialist | 7807 Telegraph Road #a, Montebello, CA 90640 | 2007-05-02 |
| 1114140233 | Mark Noel Samonte | Specialist | 101 E Beverly Blvd Ste 100a, Montebello, CA 90640-4314 | 2007-04-10 |
| 1194877191 | Reginald Sampson | Specialist | 229 E. Beverly Bl., Montebello, CA 90640 | 2007-01-18 |
| 1366514499 | Shaheen Iqbal | Specialist | 609 W Beverly Blvd, Montebello, CA 90640-3623 | 2006-11-14 |
| 1750495669 | Peritoneal Dialysis Center of America, Inc | Specialist | 3112 W Beverly Blvd, Montebello, CA 90640-2217 | 2006-08-18 |
| 1295746220 | Cecilia Lin | Specialist | 3400 W Beverly Blvd, Montebello, CA 90640-1539 | 2006-08-11 |
| 1972530418 | Anjana S Sura | Specialist | 1336 W Whittier Blvd, Montebello, CA 90640-4601 | 2006-06-28 |
| 1477596864 | Helen C Koo | Specialist | 265 E Beverly Blvd, 2nd Floor, Montebello, CA 90640-3776 | 2006-06-13 |
| 1477998870 | Ferrin Katarina Ruiz | Specialist | 833 W Whittier Blvd, Montebello, CA 90640-4735 | 2013-04-30 |
| Find all providers in MONTEBELLO | ||||
| City | MONTEBELLO |
| Zip Code | 90640 |
Please comment or provide details below to improve the information on DR. SHAMIK BHADRA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.