Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | C1-0006055 | DE |
N | 111NI0900X | Internist | C1-0006055 | DE |
Y | 207RN0300X | Nephrologist | C10006055 | DE |
NPI | 1043285471 |
---|---|
Provider Name | Dr. Manmeet Brar |
First Address | Newark, DE 19713-2081 |
Second Address | Dover, DE 19904-6930 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2006 |
Last Update Date | 17/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0391328 | (05) | NJ |
1043285471 | (05) | DE |
G01789 | (02) |