Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 44931 | AZ |
N | 207RG0300X | Geriatric Medicine | MD435809 | PA |
NPI | 1114165008 |
---|---|
Provider Name | Amruta A Vadnerkar |
First Address | Gilbert, AZ 85297-7339 |
Second Address | Gilbert, AZ 85297-7339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2009 |
Last Update Date | 14/03/2013 |