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Individual

DR. PRIYANKA BAKHTIANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11370 ANDERSON ST STE B800, LOMA LINDA, CA 92354-3450
(909) 558-5138
Mailing address
11370 ANDERSON ST STE B800, LOMA LINDA, CA 92354-3450
(909) 558-5138

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
49873
KY
2080P0205X
Pediatric Endocrinology Physician
Primary
A169154
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125553
OH
05
300002100
IN
05
7100462790
KY
Enumeration date
08/27/2011
Last updated
01/23/2025
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