Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A111610 | CA |
NPI | 1548422140 |
---|---|
Provider Name | Amy Shah Dhesi |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90017-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 29/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A111610 | LICENSE (01) | CA |