Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | 38086 | WI |
Y | 2080P0214X | Pediatric Pulmonologist | 38086 | WI |
NPI | 1265484117 |
---|---|
Provider Name | Dr. Daiva E Parakininkas |
First Address | Milwaukee, WI 53226-4874 |
Second Address | Milwaukee, WI 53226-4874 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 12/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002000226J | HUMANA (01) | |
1265484117 | (05) | WI |
34116300 | (05) | WI |
H47301 | (02) |