Individual
DINA MAGDELDIN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(858) 355-5864
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A120934
CA
207RP1001X
Pulmonary Disease Physician
Primary
A120934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
554232400
—
MD
01
—
974402-01
CAREFIRST BC/BS - REGIONAL
MD
Enumeration date
05/31/2008
Last updated
09/26/2017
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