Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 2002022547 | MO |
N | 207U00000X | Nuclear Medicine Specialist | 32801 | AZ |
Y | 207U00000X | Nuclear Medicine Specialist | A83447 | CA |
NPI | 1568467843 |
---|---|
Provider Name | Dr. Diane T Pap |
First Address | Sacramento, CA 95827-2539 |
Second Address | Sacramento, CA 95816-5120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 17/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H91484 | (02) | CA |