Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | A41856 | CA |
N | 207RG0300X | Geriatric Medicine | A41856 | CA |
N | 207RP1001X | Pulmonary Disease | A41856 | CA |
NPI | 1114949104 |
---|---|
Provider Name | Dr. Darshana Rajesh Kadakia |
First Address | San Clemente, CA 92672-4279 |
Second Address | San Clemente, CA 92672-4279 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 28/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F08900 | (02) |