Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD449821 | PA |
N | 207NP0225X | Pediatric Dermatologist | MD449821 | PA |
N | 207NS0135X | Procedural Dermatology | MD449821 | PA |
NPI | 1053519363 |
---|---|
Provider Name | Dr. Priya Batra Dhanaraj |
First Address | Yardley, PA 19067-5515 |
Second Address | Yardley, PA 19067-5515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2007 |
Last Update Date | 20/05/2021 |