Basic Information
Provider Information
NPI: 1225053168
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEDI
FirstName: SARABJIT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 15910 VENTURA BLVD
Address2: SUITE 1502
City: ENCINO
State: CA
PostalCode: 914362802
CountryCode: US
TelephoneNumber: 8187289877
FaxNumber:  
Practice Location
Address1: 15910 VENTURA BLVD
Address2: SUITE 1502
City: ENCINO
State: CA
PostalCode: 914362802
CountryCode: US
TelephoneNumber: 8187289877
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/13/2006
LastUpdateDate: 03/27/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XP63895NYN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XMD424491PAY Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XA94320CAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XC10008487DEN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X4301083057MIN Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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