Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 280021 | NY |
N | 207Q00000X | Family Doctor | 280021 | NY |
N | 207R00000X | Internist | 280021 | NY |
N | 111NI0900X | Internist | 280021 | NY |
NPI | 1003253378 |
---|---|
Provider Name | Dr. Azima Rasiwala |
First Address | Buffalo, NY 14214-2648 |
Second Address | Buffalo, NY 14214-2648 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2013 |
Last Update Date | 16/02/2018 |