Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 036146331 | IL |
Y | 207WX0107X | Retina Specialist | 036146331 | IL |
NPI | 1003227117 |
---|---|
Provider Name | Dr. Naryan Singh Sabherwal |
First Address | Orland Park, IL 60467-9455 |
Second Address | Harvey, IL 60426-4265 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2014 |
Last Update Date | 04/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036146331 | (05) | IL |