Organization
ELITE MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONIA BADRESHIA MD (CEO)
(717) 805-0663
Entity
Organization
Contact information
Practice address
360 ROSE AVE, DANVILLE, CA 94526-3320
(717) 805-0663
Mailing address
360 ROSE AVE, DANVILLE, CA 94526-3320
(717) 805-0663
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
A99366
CA
208200000X
Plastic Surgery Physician
A99986
CA
Other
Enumeration date
07/25/2007
Last updated
01/02/2008
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