Individual
DR. MANRAJ S BATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1575 CROSS CREEKS BLVD, PICKERINGTON, OH 43147-8237
(614) 751-7500
(614) 322-7900
Mailing address
1575 CROSS CREEKS BLVD, PICKERINGTON, OH 43147-8237
(614) 751-7500
(614) 322-7900
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20162
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358014
ANTHEM BCBS PIN NUMBER
OH
Enumeration date
09/20/2006
Last updated
04/30/2013
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