Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | MD066788L | PA |
NPI | 1609832195 |
---|---|
Provider Name | Aruna Bhatia |
First Address | Wilkes Barre, PA 18711-0030 |
Second Address | Wilkes Barre, PA 18711-0030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2006 |
Last Update Date | 11/07/2007 |