Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | P2430 | TX |
N | 111NI0900X | Internist | P2430 | TX |
Y | 207RH0003X | Hematology & Oncology | P2430 | TX |
NPI | 1003070004 |
---|---|
Provider Name | Dr. Mukesh Kumar D Delvadiya |
First Address | Dallas, TX 75391-1230 |
Second Address | Plano, TX 75093-8225 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2008 |
Last Update Date | 03/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200962360A | (05) | OK |
343247805 | (05) | TX |