NPI 1174085153 · live from the CMS NPI Registry
Anita Bachu, DO
Dermatology in Hialeah, FL. National Provider Identifier 1174085153, active.
NPI record
| NPI | 1174085153 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1475 W 49th Pl, Hialeah, FL 33012 |
| Practice phone | 305-558-2500 |
| Mailing address | 33 Calf Pond Ln, Fairfield, CT 06824 |
| Enumerated | April 1, 2019 |
| Last updated | July 11, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice | 208D00000X | OS17366 (FL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dermatology primary | 207N00000X | OS17366 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.