Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 223139 | NY |
N | 111NI0900X | Internist | 223139 | NY |
Y | 207RI0200X | Infectious Disease | 223139 | NY |
NPI | 1003887258 |
---|---|
Provider Name | Dr. Nili Gujadhur |
First Address | Poughkeepsie, NY 12601-3986 |
Second Address | Poughkeepsie, NY 12601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 24/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02208400 | (05) | NY |
H37647 | (02) | NY |