Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | E4788 | CA |
N | 213ES0000X | Sports Medicine | E4788 | CA |
N | 213ES0103X | Foot & Ankle Surgery | 01477 | MD |
Y | 213ES0103X | Foot & Ankle Surgery | PO1000070 | DC |
N | 213ES0131X | Foot Surgery | 25MD00288000 | NJ |
NPI | 1376565259 |
---|---|
Provider Name | Dr. Amit Luhadiya |
First Address | Rockville, MD 20852-4908 |
Second Address | Washington, DC 20002-8100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2006 |
Last Update Date | 27/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
V11212 | (02) | NJ |