Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0216X | Pediatric Rheumatologist | 093200 | OH |
Y | 2080P0216X | Pediatric Rheumatologist | MD60273913 | WA |
NPI | 1780818518 |
---|---|
Provider Name | Dr. Kabita Nanda |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2009 |
Last Update Date | 17/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1025720450001 | (05) | PA |
2954727 | (05) | OH |