Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | A132886 | CA |
Y | 208200000X | Surgeon | A132886 | CA |
Y | 208600000X | Surgeon | A132886 | CA |
N | 2086S0127X | Trauma Surgeon | A132886 | CA |
NPI | 1083879746 |
---|---|
Provider Name | Dr. Ameneh Donya Kalani |
First Address | Visalia, CA 93291-6238 |
Second Address | Visalia, CA 93291-6238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2008 |
Last Update Date | 26/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A132886 | CA (01) | CA |