Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D0056147 | MD |
Y | 111NI0900X | Internist | D0056147 | MD |
N | 207RG0300X | Geriatric Medicine | D0056147 | MD |
NPI | 1154355345 |
---|---|
Provider Name | Dr. Nasreen Kango |
First Address | Rockville, MD 20850-7767 |
Second Address | Takoma Park, MD 20912-7724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 01/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
414960200 | (05) | MD |
H56913 | (02) | MD |