Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | A118185 | CA |
Y | 213ES0000X | Sports Medicine | A118185 | CA |
NPI | 1295930907 |
---|---|
Provider Name | Dr. Neeti Bathia |
First Address | San Mateo, CA 94403-1372 |
Second Address | San Mateo, CA 94403-1372 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2007 |
Last Update Date | 05/03/2021 |