Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 0101228335 | VA |
NPI | 1518959980 |
---|---|
Provider Name | Dr. Nariman Dash |
First Address | Fredericksburg, VA 22401-3511 |
Second Address | Fredericksburg, VA 22401-3511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 30/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I02787 | (02) |