Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | D0051758 | MD |
NPI | 1003855479 |
---|---|
Provider Name | Dr. Jasjit B Atwal |
First Address | Baltimore, MD 21264-4374 |
Second Address | Baltimore, MD 21201-1642 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 07/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B19040 | (02) | MD |
CA8702 | RAILROAD GROUP# (01) | MD |