Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD.35362 | AL |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 35362 | AL |
NPI | 1023455847 |
---|---|
Provider Name | Dr. Kalsang Dolma |
First Address | Mobile, AL 36640-0480 |
Second Address | Mobile, AL 36604-3301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2013 |
Last Update Date | 18/07/2019 |