Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | L9880 | TX |
Y | 111NI0900X | Internist | L9880 | TX |
N | 207RG0100X | Gastroenterologist | L9880 | TX |
NPI | 1043285711 |
---|---|
Provider Name | Dr. Amit Sadana |
First Address | Tyler, TX 75712-5500 |
Second Address | Tyler, TX 75702-8369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 04/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
167905201 | (05) | TX |