Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 34440 | AL |
N | 111NI0900X | Internist | 34440 | AL |
Y | 207RG0100X | Gastroenterologist | 52496 | KY |
NPI | 1033485644 |
---|---|
Provider Name | Aishwarya Rushyal Shyamraj |
First Address | Cincinnati, OH 45263-5283 |
Second Address | Florence, KY 41042-4824 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2012 |
Last Update Date | 29/10/2021 |