Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | A125840 | CA |
N | 2080P0203X | Pediatric Critical Care Doctor | 267532 | NY |
N | 2080P0203X | Pediatric Critical Care Doctor | A125840 | CA |
NPI | 1275790941 |
---|---|
Provider Name | Dr. Pooja Amar Nawathe |
First Address | Palo Alto, CA 94304-1601 |
Second Address | Palo Alto, CA 94304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 15/06/2018 |