Individual
MRS. POONAM BHATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016
(602) 933-0970
(602) 933-4253
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A102581
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
35.120197
OH
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
57948
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518705
—
AZ
Enumeration date
08/30/2007
Last updated
08/23/2019
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