Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 252433 | NY |
NPI | 1013144633 |
---|---|
Provider Name | Darshita Shah |
First Address | Bronx, NY 10461-2301 |
Second Address | Bronx, NY 10461-2301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2009 |
Last Update Date | 22/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
252433 | LICENSE (01) | NY |