Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 000803 | GA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 51113 | MN |
NPI | 1003091778 |
---|---|
Provider Name | Dr. Monisha Parvin Gidvani |
First Address | Plano, TX 75093-3452 |
Second Address | Dallas, TX 75231-4339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2007 |
Last Update Date | 02/05/2012 |