Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A88289 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | A88289 | CA |
Y | 207RI0011X | Interventional Cardiology | A88289 | CA |
NPI | 1689622995 |
---|---|
Provider Name | Amar L. Pohwani |
First Address | Modesto, CA 95355-4201 |
Second Address | Modesto, CA 95355-2707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 23/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A882890 | (05) | CA |
G30985 | (02) | CA |