Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | ME102432 | FL |
NPI | 1053401158 |
---|---|
Provider Name | Amita Kathuria |
First Address | Orlando, FL 32817-1492 |
Second Address | Orlando, FL 32817-1492 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 12/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000357400 | (05) | FL |