Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 2010008607 | MO |
Y | 207U00000X | Nuclear Medicine Specialist | ME118727 | FL |
NPI | 1225344054 |
---|---|
Provider Name | Dr. Dhanashree Abhijit Rajderkar |
First Address | Gainesville, FL 32607-4942 |
Second Address | Gainesville, FL 32607-4942 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2010 |
Last Update Date | 01/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
011821700 | (05) | FL |