DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHELLE M BANTA, M.D.

Active Sole Proprietor

DR. MICHELLE M BANTA, M.D. is a Psychiatry healthcare provider located in SAN DIEGO, California. NPI 1588740138 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · SAN DIEGO, CA

Registration Details

NPI Number
1588740138
Provider Type
Individual
Gender
Female
NPI Issued
Oct 27, 2006 (19.791309499905 yrs)
Last Updated
Feb 25, 2008
License
G48751 (CA)
Sole Proprietor
Yes

Practice Information

Address
4060 FOURTH AVE
SUITE 330
SAN DIEGO, CA, 921032116
Browse CA providers · Browse ZIP 92103
Phone
6192912274
Fax
6192912274
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in SAN DIEGO, CA

Name Credential NPI
NICODEMUS J. GARCIA MD 1669478400
DR. MARY K RUSHER M.D. 1851393656
DR. RALPH SAINTFORT MD 1184617995
ZINAT SOBHANI M.D. 1558342949
LAURENCE ROSS SABEN MD 1669454898
DANIEL GARDNER MD 1134103591
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.