Provider Demographics
NPI:1215241740
Name:BHASIN, RUCHIKA (MD)
Entity type:Individual
Prefix:DR
First Name:RUCHIKA
Middle Name:
Last Name:BHASIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18433 ROSCOE BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4129
Mailing Address - Country:US
Mailing Address - Phone:818-349-1262
Mailing Address - Fax:
Practice Address - Street 1:18433 ROSCOE BLVD STE 106
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4129
Practice Address - Country:US
Practice Address - Phone:818-349-1262
Practice Address - Fax:818-493-2231
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA112947207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine