Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 285370-1 | NY |
NPI | 1063746840 |
---|---|
Provider Name | Dr. Chandhana Paka |
First Address | New York, NY 10019-8022 |
Second Address | New York, NY 10019-8022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2009 |
Last Update Date | 21/07/2016 |