Provider Demographics
NPI:1386606465
Name:NATT, BALBIR (MD)
Entity type:Individual
Prefix:
First Name:BALBIR
Middle Name:
Last Name:NATT
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 1:742 W HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92405-3839
Mailing Address - Country:US
Mailing Address - Phone:909-376-4438
Mailing Address - Fax:909-881-7329
Practice Address - Street 1:7675 STERLING AVE
Practice Address - Street 2:SUITE C-D
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92410-4738
Practice Address - Country:US
Practice Address - Phone:909-881-7320
Practice Address - Fax:909-881-7329
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA46022208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF65198Medicare UPIN
CAA0765ZMedicare UPIN
CA00A460220Medicare ID - Type Unspecified