Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 2006-00720 | NC |
N | 207RN0300X | Nephrologist | MD.201123 | LA |
NPI | 1033194402 |
---|---|
Provider Name | Dr. Amarnath A Kathresal |
First Address | Durham, NC 27704-2147 |
Second Address | Durham, NC 27704-2147 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2005 |
Last Update Date | 03/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08950756 | (05) | MS |
1035624 | (05) | LA |