Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 257734 | MA |
N | 207X00000X | Orthopaedic Surgeon | 4543 | GA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD20160063 | NM |
NPI | 1255645008 |
---|---|
Provider Name | Bharati Sukadeo Kalyani |
First Address | Las Cruces, NM 88011-8255 |
Second Address | Boston, MA 02114-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2010 |
Last Update Date | 31/03/2021 |