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Chetan Girijanand Bhat

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3020 Childrens Way # Mc5018, San Diego, CA 92123-4223

PECOS Enrollment

This provider is enrolled in PECOS as CHETAN BHAT.

Based on the most recent information from CMS, provider Chetan Girijanand Bhat is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1497309801
Provider Type
Individual
Full Name
Bhat, Chetan Girijanand
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/25/2019
Last Updated
8/22/2023

Contact Information

Practice Location

3020 Childrens Way # Mc5018, San Diego, CA 92123-4223

(858) 966-7759

Unlisted Fax

Mailing Location

3020 Childrens Way # Mc5018, San Diego, CA 92123-4223

(858) 966-7759

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0804X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 182944 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Chetan Girijanand Bhat

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Sheridan, Joseph J

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Grozavu, Sergiu

Joseph Sheridan Md Inc

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Hong, Suzie

Omorodion, Aisha

Mcginley, Nancy Rodriguez