Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | P1606 | TX |
NPI | 1215292875 |
---|---|
Provider Name | Amrita Anil Waingankar |
First Address | Round Rock, TX 78681-5574 |
Second Address | Round Rock, TX 78681 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2012 |
Last Update Date | 10/07/2012 |