Individual
KHUSHBIR BATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
20100 N 51ST AVE STE F620, GLENDALE, AZ 85308-5084
(623) 376-6328
(623) 566-6454
Mailing address
20100 N 51ST AVE STE F620, GLENDALE, AZ 85308-5084
(623) 376-6328
(623) 566-6454
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
65159
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157052
—
AZ
Enumeration date
08/09/2012
Last updated
12/19/2022
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