Provider Demographics
NPI:1013159862
Name:DEYHIMPANAH, BITA (MD)
Entity Type:Individual
Prefix:DR
First Name:BITA
Middle Name:
Last Name:DEYHIMPANAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 E 68TH ST APT 10N
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6331
Mailing Address - Country:US
Mailing Address - Phone:917-776-9173
Mailing Address - Fax:
Practice Address - Street 1:445 E 68TH ST APT 10N
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6331
Practice Address - Country:US
Practice Address - Phone:917-776-9173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program