Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 2012022438 | MO |
NPI | 1124092556 |
---|---|
Provider Name | Dr. Molina Bhatnagar Dayal |
First Address | Las Vegas, NV 89119-1840 |
Second Address | St. Louis, MO 63141 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 25/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
034864300 | (05) | DC |
H86817 | (02) |