Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125-053408 | IL |
N | 111NI0900X | Internist | 125-053408 | IL |
N | 208000000X | Pediatrician | 125-053408 | IL |
N | 2080P0207X | Pediatric Hematology-Oncologist | 35.124012 | OH |
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD043616 | DC |
N | 2080P0207X | Pediatric Hematology-Oncologist | MD157916 | OR |
NPI | 1114223625 |
---|---|
Provider Name | Blachy Javier Davila Saldana |
First Address | Washington, DC 20010-2916 |
Second Address | Washington, DC 20010-2916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2011 |
Last Update Date | 15/10/2015 |