Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 250868 | NY |
NPI | 1356509996 |
---|---|
Provider Name | Dr. Katherine Shister Kohari |
First Address | New Haven, CT 06520-8063 |
Second Address | New Haven, CT 06511-5991 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 18/01/2019 |