Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301096752 | MI |
N | 111NI0900X | Internist | 4301096752 | MI |
Y | 207RN0300X | Nephrologist | 053944 | CT |
NPI | 1003123548 |
---|---|
Provider Name | Dr. Roopkiranjot Kahlon |
First Address | Detroit, MI 48201-2153 |
Second Address | Detroit, MI 48201-2153 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2010 |
Last Update Date | 22/04/2015 |