Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 37846 | TX |
NPI | 1003579145 |
---|---|
Provider Name | Dr. Rabia Ashfaq Kadwani |
First Address | Plano, TX 75094-4666 |
Second Address | Dallas, TX 75206-7464 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2021 |
Last Update Date | 26/01/2022 |