Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | OS 10014 | FL |
NPI | 1063590198 |
---|---|
Provider Name | Dr. Meghavi Sheth Kosboth |
First Address | Gainesville, FL 32605-4582 |
Second Address | Gainesville, FL 32607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 09/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
279278800 | (05) | FL |