Individual
PRIYANKA BISARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(858) 657-7000
Mailing address
200 W ARBOR DR # 8895, SAN DIEGO, CA 92103-1911
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
PTL9543
CA
Other
Enumeration date
03/25/2022
Last updated
07/07/2023
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