Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 35047866 | OH |
NPI | 1124000815 |
---|---|
Provider Name | Dr. Nasreen A Bhumbra |
First Address | Toledo, OH 43614-2426 |
Second Address | Toledo, OH 43608-2673 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2005 |
Last Update Date | 19/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0538458 | (05) | OH |
A15619 | (02) |