MEDICARE: BITA NAJI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A117074	CA
2	207Q00000X	Family Medicine Physician	35-099620	OH
3	207Q00000X	Family Medicine Physician	MD2010-0752	NM
4	207Q00000X	Family Medicine Physician	MD60386455	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	9338635	OTHER	OH	PARTNERS PHYSICIAN GROUP MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1841239274	OTHER	OH	PARTNERS PHYSICIAN GROUP TYPE 2 NPI #

General Provider Information

NPI Number	:	1730343633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BITA NAJI M.D.

Provider Business Mailing Address
First Line	:	700 NE 87TH AVE STE 110
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-1913
Country	:	US
Telephone Number	:	360-882-2778
Fax Number	:	360-604-1690

Provider Business Practice Location Address
First Line	:	700 NE 87TH AVE STE 110
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-4896
Country	:	US
Telephone Number	:	360-882-2778
Fax Number	:	360-604-1761

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	04/03/2019

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Directions to “ BITA NAJI M.D.” Practice Location

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