Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 290318 | NY |
Y | 2084N0402X | Child Neurologist | 290318 | NY |
NPI | 1407299381 |
---|---|
Provider Name | Dr. Anusha Kierty Yeshokumar |
First Address | New York, NY 10029-0312 |
Second Address | Baltimore, MD 21287-0006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2013 |
Last Update Date | 19/10/2020 |