Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 247598-1 | NY |
N | 207L00000X | Anesthesiologist | 25MA08370000 | NJ |
NPI | 1013121573 |
---|---|
Provider Name | Dr. Kirtida Dinesh Rana |
First Address | Poughkeepsie, NY 12602-0550 |
Second Address | New York, NY 10003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 24/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03074191 | (05) | NY |