Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | Q5507 | TX |
Y | 2086S0122X | Plastic and Reconstructive Surgery | Q5507 | TX |
NPI | 1336465509 |
---|---|
Provider Name | Dr. Purushottam Achyut Nagarkar |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 27/06/2018 |