Clark, Bhavishya Surapaneni
Clark, Bhavishya Surapaneni is an individual health care provider with primary practice located at 35 Casa St Ste 130 , San Luis Obispo CA 93405-1887. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Clark, Bhavishya Surapaneni can be contacted via phone (805) 541-1422.Contact Information
Primary practice address
35 Casa St Ste 130
San Luis Obispo CA 93405-1887
Phone: (805) 541-1422
Fax: (805) 541-1215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 155364 | California |
Profile Details
| NPI number | 1144677691 |
|---|---|
| LBN Legal business name | Clark, Bhavishya Surapaneni |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2016 |
| Last updated | Oct 4th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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