Individual
DR. BAISHALI BHATTACHARYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4207 E COTTON CENTER BLVD., BUILDING 10, PHOENIX, AZ 85040
(888) 276-2223
(972) 767-0225
Mailing address
PO BOX 840294, DALLAS, TX 75284-0294
(888) 344-1160
(972) 331-3148
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
MD11510
RI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
41392
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7056692
—
RI
Enumeration date
05/18/2006
Last updated
11/25/2013
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