Healthcare Provider Details

I. General information

NPI: 1639084247
Provider Name (Legal Business Name): NEELAM NEERU BAGHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1916 N MAIN ST
SALINAS CA
93906-2034
US

IV. Provider business mailing address

1916 N MAIN ST
SALINAS CA
93906-2034
US

V. Phone/Fax

Practice location:
  • Phone: 831-276-0560
  • Fax: 209-222-6185
Mailing address:
  • Phone: 831-276-0560
  • Fax: 209-222-6185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310600
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: