Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | N9244 | TX |
N | 2080P0205X | Pediatric Endocrinologist | N9244 | TX |
NPI | 1285638676 |
---|---|
Provider Name | Dr. Naila Yunus Soorty |
First Address | Houston, TX 77090-2641 |
Second Address | Houston, TX 77090-2641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 27/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1550108 | (05) | LA |
290276901 | (05) | TX |
BK6199207 | DEA (01) | LA |
G7577 | BLUE CROSS/BLUE SHIELD (01) | LA |
G87239 | (02) |