Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 0401417594 | VA |
NPI | 1043750656 |
---|---|
Provider Name | Dr. Nandan Buch |
First Address | Norfolk, VA 23502-2530 |
Second Address | Norfolk, VA 23502-2530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2017 |
Last Update Date | 14/09/2021 |