Individual
MONISHA BHANOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13112 EVENING CREEK DR S, SAN DIEGO, CA 92128-4108
(858) 668-4385
(310) 698-7054
Mailing address
2374 E PACIFICA PL, RANCHO DOMINGUEZ, CA 90220-6214
(310) 225-3244
(310) 698-7054
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
239555
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
239555
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
C130710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C130710
LICENSE
CA
Enumeration date
04/04/2008
Last updated
01/27/2016
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