Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 199327 | NY |
NPI | 1053456855 |
---|---|
Provider Name | Chithranjan Nath |
First Address | Fishkill, NY 12524-3036 |
Second Address | Fishkill, NY 12524-3036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 19/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01620680 | (05) | NY |
G17139 | (02) |