Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 0101244890 | VA |
N | 207K00000X | Allergist & Immunologist | 5714 | PA |
Y | 207K00000X | Allergist & Immunologist | MD60623801 | WA |
NPI | 1184699977 |
---|---|
Provider Name | Dr. Ritu Pabby |
First Address | Spokane, WA 99204 |
Second Address | Spokane, WA 99204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 10/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010656200 | (05) | FL |
I41051 | (02) | PA |