Individual provider · Type 1 NPI

Bhavishya Surapaneni Clark, MD

Otolaryngology Physician · San Luis Obispo, CA

NPI number 1144677691 Active

Practice location

35 Casa St Ste 130
San Luis Obispo, CA 93405-1887

Call (805) 541-1422 Map

Fax (805) 541-1215

Other practice locations

  • 1200 N State St, Clinic Tower, Ste A7D, Los Angeles, CA 90033-1029 · (323) 442-4830

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X155364 (CA)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1144677691

Bhavishya Surapaneni Clark, MD's National Provider Identifier is 1144677691, issued on May 14, 2016. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Oct 4, 2022.