Doctor Name: | DR. SHELLEY S BATH |
NPI Number: | 1982866877 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 249150 |
Business Practice Address: | 14 Locust Dr Middleport, NY - 141051310 |
Business Phone Number: | 7169899325 |
Business Fax Number: | |
Mailing Address: | 14 Locust Dr, MIDDLEPORT |
State: | NY |
Postal Code: | 141051310 |
Phone Number: | 7169899325 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2008 |
NPI Last Update Date: | 04/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 249150 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |