Individual
VISHAL BANTHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2390 FARADAY AVE, CARLSBAD, CA 92008-7216
(858) 909-0770
(858) 909-0880
Mailing address
39899 BALENTINE DR STE 200, NEWARK, CA 94560-5361
(800) 453-1420
(800) 453-1420
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4301501683
MI
207Y00000X
Otolaryngology Physician
Primary
A86814
CA
207Y00000X
Otolaryngology Physician
S8419
TX
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
A86814
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A868140
—
CA
01
—
1Y1840
MEDICARE UPIN
TX
Enumeration date
10/27/2006
Last updated
08/18/2022
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