Individual provider · NPI-1
Dayana Marlen Dominguez Batista, MD
Pediatrics, Sleep Medicine · Mesa, AZ
NPI number1245735026
StatusActive
Last updated in NPPESMar 9, 2024
Details
- NPI
- 1245735026
- Entity type
- Individual (NPI-1)
- Name
- Dayana Marlen Dominguez Batista
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2018
- Certification date
- May 9, 2022
- Last updated
- Mar 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080S0012X | Pediatrics, Sleep Medicine | 66177 | AZ | Yes |
| 207RS0012X | Internal Medicine, Sleep Medicine | 66177 | AZ | |
| 208000000X | Pediatrics | 66177 | AZ |
Practice location
1432 S Dobson Rd Ste 509Mesa, AZ 85202-4778
Phone 480-412-6430
Mailing address
7931 E San Miguel Ave Unit 2Scottsdale, AZ 85250-6557
Phone 786-495-3130
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