Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD468393 | PA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 278397 | NY |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD468393 | PA |
NPI | 1235438037 |
---|---|
Provider Name | Dr. Malini Devi Persad |
First Address | Hawthorne, NY 10532 |
Second Address | Hawthorne, NY 10532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2011 |
Last Update Date | 22/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1036911940001 | (05) | PA |