Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 2019-01129 | NC |
NPI | 1669715413 |
---|---|
Provider Name | Dr. Puja Sood Rajani |
First Address | Charlotte, NC 28260-0447 |
Second Address | Charlotte, NC 28226-8286 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2013 |
Last Update Date | 26/10/2020 |