Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 002596 | NY |
Y | 2080N0001X | Neonatal-Perinatal Doctor | C53244 | CA |
NPI | 1013938745 |
---|---|
Provider Name | Dr. Manoj A Biniwale |
First Address | Los Angeles, CA 90028-7901 |
Second Address | Los Angeles, CA 90027-6062 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 22/08/2008 |