Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 72257 | GA |
NPI | 1174764252 |
---|---|
Provider Name | Nitya Bakshi |
First Address | Atlanta, GA 30303-3032 |
Second Address | Atlanta, GA 30303-3032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2009 |
Last Update Date | 25/06/2021 |