Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35-072307 | OH |
N | 111NI0900X | Internist | 35-072307 | OH |
N | 207RC0200X | Critical Care Medicine | 35-072307 | OH |
Y | 207RP1001X | Pulmonary Disease | 35-072307 | OH |
NPI | 1023067543 |
---|---|
Provider Name | Amaresh Rajeshwar Nath |
First Address | Middletown, OH 45005-5200 |
Second Address | Middletown, OH 45005-5200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 14/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200207290 | (05) | IN |
2123964 | (05) | OH |
64092802 | (05) | KY |
G73261 | (02) |