Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 30427 | AL |
N | 111NI0900X | Internist | 30427 | AL |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 30427 | AL |
NPI | 1003014705 |
---|---|
Provider Name | Dr. Ankur Jindal |
First Address | Huntsville, AL 35804-2705 |
Second Address | Huntsville, AL 35801-5134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2007 |
Last Update Date | 03/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102I112359 | MEDICARE (01) | AL |
190391 | (05) | AL |