Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 2014-04519 | NC |
Y | 207RX0202X | Medical Oncology | 2014-01519 | NC |
NPI | 1447427737 |
---|---|
Provider Name | Dr. Niharika Bansal Mettu |
First Address | Charlotte, NC 28263-3362 |
Second Address | Durham, NC 27710-2000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2008 |
Last Update Date | 22/07/2014 |