Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35126548 | OH |
N | 111NI0900X | Internist | 35126548 | OH |
Y | 208000000X | Pediatrician | 35.126548 | OH |
NPI | 1003106154 |
---|---|
Provider Name | Amrik Singh Khalsa |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2011 |
Last Update Date | 27/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0136894 | (05) | OH |