Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | C1-0009697 | DE |
N | 2080P0214X | Pediatric Pulmonologist | MD442698 | PA |
NPI | 1497921027 |
---|---|
Provider Name | Ambika R. Shenoy |
First Address | Rockland, DE 19723-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2008 |
Last Update Date | 21/10/2013 |