Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 4301047103 | MI |
NPI | 1003875287 |
---|---|
Provider Name | Dr. Kamal K Nangia |
First Address | Bloomfield Hills, MI 48304-1143 |
Second Address | Detroit, MI 48201-2018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 17/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101907319 | (05) | MI |
F10110 | (02) | MI |
KN047103 | BC/BS OF MI (01) | MI |