Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD459828 | PA |
NPI | 1003869108 |
---|---|
Provider Name | Boriana Kamenova |
First Address | Pittsburgh, PA 15232-1309 |
Second Address | Monroeville, PA 15146-2351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 15/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I30290 | (02) | IA |