Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 52806 | MN |
N | 2080P0204X | Pediatric Emergency Doctor | 217010 | NY |
NPI | 1477512457 |
---|---|
Provider Name | Dr. Anupam B Kharbanda |
First Address | Minneapolis, MN 55404-4518 |
Second Address | Minneapolis, MN 55404-4518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 11/03/2014 |