Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | 49819 | WI |
N | 208000000X | Pediatrician | 15528R | LA |
N | 208000000X | Pediatrician | 49819 | WI |
Y | 2080P0214X | Pediatric Pulmonologist | 37340 | AZ |
NPI | 1558324640 |
---|---|
Provider Name | Dr. Rupali Drewek |
First Address | Phoenix, AZ 85016-7710 |
Second Address | Phoenix, AZ 85016-7710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 16/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
15528R | MEDICAL LICENSE (01) | LA |
37340 | AZ BOARD OF MEDICAL EXAM (01) | AZ |