Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01053662A | IN |
N | 111NI0900X | Internist | 01053662A | IN |
Y | 207R00000X | Internist | 30769 | AZ |
Y | 111NI0900X | Internist | 30769 | AZ |
N | 207RG0300X | Geriatric Medicine | 30769 | AZ |
NPI | 1013977859 |
---|---|
Provider Name | Bidya Lohani-Sharma |
First Address | Chandler, AZ 85225-1058 |
Second Address | Chandler, AZ 85225-1058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 15/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
768971 | (05) | AZ |
H84753 | (02) | AZ |