Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 8959 | AZ |
NPI | 1013020684 |
---|---|
Provider Name | Dr. Patricia Ranjinee Halpe |
First Address | Phoenix, AZ 85013-4360 |
Second Address | Phoenix, AZ 85013-4360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 21/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
283309 | (05) | AZ |
D36973 | (02) | AZ |