Individual
DR. NEHA JAIN SAMPATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6354 MONTEZ VILLA RD, SAN DIEGO, CA 92130-5788
(858) 752-4588
Mailing address
6354 MONTEZ VILLA RD, SAN DIEGO, CA 92130-5788
(858) 752-4588
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A105989
CA
208M00000X
Hospitalist Physician
Primary
A105989
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EV501Z
MEDICARE PTAN
CA
01
—
W14158
MEDICARE GROUP BILLING NUMBER
CA
Enumeration date
05/26/2008
Last updated
11/09/2017
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