NPI 1164430831 · live from the CMS NPI Registry
Marina Bota, MD
Psychiatry & Neurology, Psychiatry in Bloomington, IN. National Provider Identifier 1164430831, active.
NPI record
| NPI | 1164430831 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 645 S Rogers St, Bloomington, IN 47403 |
| Practice phone | 812-339-1691 |
| Enumerated | August 4, 2006 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | 01049776A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.