Bhavan, Sathy Visakan

Bhavan, Sathy Visakan is an individual health care provider with primary practice located at 2619 E Colorado Blvd Ste 150 , Pasadena CA 91107-3747. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bhavan, Sathy Visakan can be contacted via phone (626) 793-4168.

Contact Information

Primary practice address
2619 E Colorado Blvd Ste 150 Pasadena CA 91107-3747
Phone: (626) 793-4168
Fax: (626) 463-1277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME124912 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2004016660 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A98352 California

Profile Details

NPI number 1457321903
LBN Legal business name Bhavan, Sathy Visakan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 31st, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457321903 NPPES
Missouri MEDICAID 209368406
Missouri MEDICAID 1457321903

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