Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 45701 | KY |
N | 2080P0208X | Pediatric Infectious Diseases | 35.090135 | OH |
Y | 2080P0208X | Pediatric Infectious Diseases | 45701 | KY |
NPI | 1093911539 |
---|---|
Provider Name | Dr. Navjyot Kaur Vidwan |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202-1821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2007 |
Last Update Date | 29/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100139530 | (05) | KY |