Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD-427206 | PA |
NPI | 1003059676 |
---|---|
Provider Name | Cherag Daruwala |
First Address | Philadelphia, PA 19182-0933 |
Second Address | Philadelphia, PA 19134-4427 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2009 |
Last Update Date | 18/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
597586 | MEDICARE GROUP (01) | PA |
CD4829 | RR MEDICARE TPI GROUP (01) | PA |