Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | ME129394 | FL |
NPI | 1003810417 |
---|---|
Provider Name | Dr. Olga Kaliebe |
First Address | New Orleans, LA 70154-4851 |
Second Address | Tampa, FL 33609-4123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 09/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1055441 | (05) | LA |
BK8798285 | FED DEA (01) | |
I21633 | (02) |