Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 61682 | CT |
N | 207V00000X | Obstetrician & Gynecologist | MD-2016-0126 | NM |
NPI | 1013275452 |
---|---|
Provider Name | Lily Bayat |
First Address | New Brunswick, NJ 08901-1962 |
Second Address | New Brunswick, NJ 08901-1962 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2012 |
Last Update Date | 03/02/2022 |