Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036144152 | IL |
N | 111NI0900X | Internist | 036144152 | IL |
N | 207RH0002X | Hospice and Palliative Medicine | 036144152 | IL |
Y | 207RH0002X | Hospice and Palliative Medicine | 56718 | AZ |
NPI | 1184060832 |
---|---|
Provider Name | Dr. Andrew Navindra Latchman |
First Address | Sierra Vista, AZ 85635 |
Second Address | Sierra Vista, AZ 85635 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2013 |
Last Update Date | 07/08/2020 |