Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 115288 | NY |
Y | 111NI0900X | Internist | 115288 | NY |
N | 207RG0300X | Geriatric Medicine | 115288 | NY |
NPI | 1023066719 |
---|---|
Provider Name | Dr. Lalta Rani Mudgil |
First Address | Bronx, NY 10453-4303 |
Second Address | Bronx, NY 10453-4303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 27/07/2018 |