Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 55239 | AZ |
NPI | 1801213731 |
---|---|
Provider Name | Dr. Hemikaa Devakumar |
First Address | Litchfield Park, AZ 85340 |
Second Address | Litchfield Park, AZ 85340 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2014 |
Last Update Date | 09/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Z212467 | (05) | AZ |