Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 288985-1 | NY |
NPI | 1720370828 |
---|---|
Provider Name | Anuradha Amar Gajjar |
First Address | New York, NY 10021 |
Second Address | New York, NY 10021-4872 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2011 |
Last Update Date | 17/03/2018 |