Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 49873 | KY |
NPI | 1447530910 |
---|---|
Provider Name | Dr. Priyanka Bakhtiani |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202-1837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2011 |
Last Update Date | 12/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
125553 | (05) | OH |
300002100 | (05) | IN |
7100462790 | (05) | KY |