Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 255495 | NY |
NPI | 1053374934 |
---|---|
Provider Name | Dr. Shawn Dhupar |
First Address | Poughkeepsie, NY 12601-1300 |
Second Address | Poughkeepsie, NY 12601-1300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 28/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0041167 | (05) | NJ |
I07153 | (02) | NJ |