Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | TRN14873 | FL |
Y | 2080P0205X | Pediatric Endocrinologist | P5870 | TX |
NPI | 1508149741 |
---|---|
Provider Name | Dr. Nivedita Patni |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2011 |
Last Update Date | 09/07/2018 |