Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | A53155 | CA |
NPI | 1023169489 |
---|---|
Provider Name | Dr. Neera Grover |
First Address | Apple Valley, CA 92307-1329 |
Second Address | Apple Valley, CA 92307-1329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2007 |
Last Update Date | 01/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A531550 | (05) | CA |
A53155 | (02) | CA |