Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2013015495 | MO |
N | 111NI0900X | Internist | 2013015495 | MO |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 14838 | ND |
NPI | 1013357573 |
---|---|
Provider Name | Darshan Singh Khangura |
First Address | Fargo, ND 58103-5800 |
Second Address | Fargo, ND 58103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2013 |
Last Update Date | 24/05/2018 |