Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 35084421 | OH |
Y | 207L00000X | Anesthesiologist | ME114484 | FL |
NPI | 1003801465 |
---|---|
Provider Name | Ashok Narayan Shenoy |
First Address | Tampa, FL 33602-4300 |
Second Address | Tampa, FL 33606-3571 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 10/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2494126 | (05) | OH |
G00945 | (02) | OH |