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NPI 1356684021 · live from the CMS NPI Registry

Nitya Moothathu Bhalla, M.D.

Radiology, Diagnostic Radiology in New Haven, CT. National Provider Identifier 1356684021, active.

NPI record

NPI1356684021 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location333 Cedar St Rm Te2, Ynhh Dept Of Radiology, New Haven, CT 06510
Practice phone203-785-5253
Mailing addressPo Box 31309, Los Angeles, CA 90031
EnumeratedApril 1, 2013
Last updatedJuly 10, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology primary2085R0202XA154726 (CA)
Student in an Organized Health Care Education/Training Program390200000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.