Provider Demographics
NPI:1679747760
Name:BATH, HARNEET SINGH (MD)
Entity type:Individual
Prefix:
First Name:HARNEET
Middle Name:SINGH
Last Name:BATH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3883 AIRWAY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-1670
Mailing Address - Country:US
Mailing Address - Phone:707-521-8809
Mailing Address - Fax:707-521-8835
Practice Address - Street 1:5150 HILL RD E
Practice Address - Street 2:SUITE D
Practice Address - City:LAKEPORT
Practice Address - State:CA
Practice Address - Zip Code:95453-5101
Practice Address - Country:US
Practice Address - Phone:707-263-6885
Practice Address - Fax:707-263-6624
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-18
Last Update Date:2008-10-27
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Provider Licenses
StateLicense IDTaxonomies
CAA103419207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine