Doctor Name: | LILY BAYAT |
NPI Number: | 1013275452 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD, MPH |
License Number: | |
Business Practice Address: | 2211 Lomas Blvd Ne Fl 4 Albuquerque, NM - 871062719 |
Business Phone Number: | 5052722526 |
Business Fax Number: | |
Mailing Address: | 933 Bradbury Dr Se Ste 2222, ALBUQUERQUE |
State: | NM |
Postal Code: | 871064375 |
Phone Number: | 5052723120 |
Fax Number: | 5052728060 |
NPI Enumeration Date: | 04/23/2012 |
NPI Last Update Date: | 05/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |