Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 33579 | TX |
NPI | 1013354398 |
---|---|
Provider Name | Dr. Salome Kirit Masrani |
First Address | Olathe, KS 66061-7433 |
Second Address | Belton, TX 76513-1554 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2013 |
Last Update Date | 06/03/2020 |