Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35.120863 | OH |
N | 111NI0900X | Internist | 35.120863 | OH |
Y | 207RC0200X | Critical Care Medicine | 35.120863 | OH |
N | 207RP1001X | Pulmonary Disease | 35.120863 | OH |
NPI | 1003072943 |
---|---|
Provider Name | Dr. Kiranmayee Lanka |
First Address | Cincinnati, OH 45219-2906 |
Second Address | Cincinnati, OH 45219-2906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2008 |
Last Update Date | 12/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100263080 | (05) | KY |
88726 | (05) | OH |
H249710 | (02) | OH |