Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 2246 | TX |
N | 213ES0103X | Foot & Ankle Surgery | PO3587 | FL |
N | 213ES0131X | Foot Surgery | 316 | AL |
NPI | 1225319460 |
---|---|
Provider Name | Dr. Geetha Gangadhar Hiremath |
First Address | Sherman, TX 75090-2535 |
Second Address | Sherman, TX 75090-2535 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2011 |
Last Update Date | 11/01/2017 |